Primary Responsibility
- Support the claims team as the first point of referral for enquiries, as well as emails and telephone calls
- Report to Senior CER / Claims Manager outstanding workloads on a daily basis via e?mail or in agreed report format
- To take ownership of and responsibility for customer enquiries politely and efficiently on the telephone (inbound & outbound) and over email, within boundaries of knowledge, ensuring that the claims process is as smooth as possible and enquiries are actioned within 1 working day
- Participate in regular team meetings with staff and record minutes/action points when required
- Assist/deal with projects as directed by Claims Manager
- Keep the Claims Manager informed of procedural barriers and suggested enhancements
- To resolve any technical or contentious queries within the boundaries of medical knowledge and policy held
- To ensure that all computer records are up?to date and accurate
- To ensure data protection questions have been satisfied before information is provided to any caller
- To identify all complaints on receipt and deal with any as the first point of contact within technical skill level
- Ensure all complaints are accurately logged on internal systems
- To help analyze complaints trends and assist with the implementation of subsequent remedial actions
- To liaise with any internal or external contacts to discuss medical conditions
- To continually strive to improve and develop medical knowledge
- To log and report on all claims enquiries received and answered, providing analysis on any trends that may occur
- Produce scheduled and ad?hoc claims reports when agreed by underwriting for other offices
- Develop and maintain working relationships with business partners, providers, brokers and agents, to the highest level of customer service possible
- To promote the best image for the company through professional appearance and behaviors
- Adhere to company standards and procedures
- To maintain the highest level of personal conduct
Qualification
Qualification
- It is essential that this individual has a good standard of education with excellent communication skills including excellent letter writing skills and telephone manner
- Experience in a claims function within an insurance environment, service provider or health organization is preferable
- The candidate will be able to explain concepts simply and unambiguously
- The individual should also be computer literate and proficient in the use of the Microsoft Office suite
- Good command in English: written and spoken required
- Should be adaptable and able to work on own with minimal supervision
- The role needs a high level of organizational and inter?personal skills
- The individual will need to demonstrate initiative and be able to prioritise varied and important tasks
- Able to respond to team objectives
Informasi lebih lanjut
Bidang Pekerjaan |
Status Kepegawaian |
Petugas Klaim/Broker Asuransi, Petugas Klaim/Broker Asuransi
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Full-Time
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Pendidikan Terakhir |
Gaji |
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Sesuai Peraturan Perusahaan
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Tingkat Jabatan |
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