Claims Senior Manager / Trưởng Phòng Cấp Cao Giải Quyết Quyền Lợi Bảo Hiểm

Key Accountabilities

• Ensure that claims are settled correctly and timely.

• Investigate doubtful claims where necessary.

• Liaison with the authorities or relevant organizations (hospitals, doctors, police, court…) in case of claim investigation or disputes.

• Maintain a good claim record experience for the company. Co-ordinate and share actual experience with the underwriting team to improve underwriting process from new business.

• To maintain accurate records relating to work processed as well as work in progress.

• Ensure reconciliation of relevant records with corresponding general ledger accounts.

• Understanding and coaching make staff understand technical information on company products and new business procedures.

• Share management responsibilities and effectively delegate tasks or activities to team members.

• Process management: updating, training and making induction.

• Ensuring efficiency and effectiveness of each transaction/ process and the integrity of the claims handling process.

• Working together with team members to set their clear and attainable goals and supporting them to achieve the department goals, supervising and motivating staff.

• Acknowledging and rewarding the outstanding exceptional performance or contribution of staff.

• Be responsible for the performance of the Claim team.

• Work closely with the other functions of Operations in a team based environment.

• Effectively delegate tasks or activities to Team members.

• Maintain professional office environment by ensuring staff’s compliance with company policies (labor regulations, office rules, dress policies, etc.)

• Lead in a pleasant, professional demeanor, treat coworker with courtesy and respect, act in a trustworthy manner.

• Acknowledge and reward the outstanding performance or contribution of staff.

• Actively seek way to make continuous improvement in underwriting processes to increase service quality, decrease paperwork & turn-around time.

Education: University graduate.

Experience:

• Capable to establish good contact with relevant authorities and organization, in particular insurance investigators.

• Strong in people and process management.

• Good insurance knowledge.

• Good English communication.

• Excellent verbal/written communication and interpersonal skills.

• Ability to contribute to a productive work environment: positive attitude, team-oriented, customer-oriented.

• Proficient in MS Office. Master other advances technology preferred.

• Time management skills and organizational ability for project management.

• Being able to build strong relationships with staff at all levels within the Company and sales force.

• Must be able to maintain a good helpful relationship with claimants, and diplomatically deal with difficult claims ensuring the maintenance of the company‘s reputation.

• Must be able to communicate clearly and maintain strong relationship with direct manager (Operations Manager), other staff in the Operations and Finance Divisions, the sales force and external customers.

• Must be able to develop good relationships with relevant bodies.