Claims Senior Executive (Healthcare)

Claims handling

- Receive loss notification from clients and guide relevant procedures.

- Calculate and make claims reserve into company system.

- Check relevant information on insurance policy and coverage in connection with claims.

- Conduct survey or coordinate with hospital to investigate the loss.

- Check quotation, calculate and handles claims in an efficient manner.

- Receive claim over TPA’s authorization, assessment and submit to Line Manager

- Check, follow-up recovery from Co-insurer (if any).

- Receive claim over TPA’s authorization, assessment and submit to Line Manager

Data/system management, reporting and claim administration.

- Open, monitor and maintain adequate claim files.

- Ensure all claims data is properly input into company systems.

- Provide data and information to internal/external bodies for making related reports.

- Assist Line Manager in claims administration issues.

- Other tasks as required by Line Manager / Head of Department.

- University graduation in relevant discipline, preferably in Insurance

- 3-5 years of experience in claims field, preferably in healthcare line

- English literacy (both spoken and written).

- Computer literate with common Office packages.

- Good inter-personal skills, clients focus, self-initiative and team player.