Executive, Claims

The Executive, Claims role is responsible for providing dedicated claims services to claimants and Financial Service Consultants by ensuring delivery of key service objectives through efficient and effective claims management.

Requirements

• Adjudicate Accident & Health (A&H) claims and ensure delivery of prudent and equitable claims decision within expected service level.
• Compliant with regulatory requirements, corporate guidelines, policy wording and reinsurance terms.
• Manage claims investigation by working with claimants, financial consultants, medical institutions, insurers, etc to determine claims decision and payment.
• Follow up on outstanding requirements needed for claims adjudication through documented follow-up process and provide regular update on claims status.
• Work closely with other business units to ensure that claims are processed accurately and that all service level agreements are met.
• Manage enquiries and appeals arising from claims.
• Support the team in implementing system enhancements or projects.