Claims Officer

• Adjudicate claims according to policyholder’s policy provisions and approves claims up to allowable limit of approval in a professional and effective manner within the turnaround time;
• Handle GOP request from insured, brokers, network facilities or emergency assistance company for outpatient and inpatient cases;
• Cooperating with emergency assistance company for emergency cases during and outside of office hours;
• Handle inquires and complaints from regional offices and Customer Services Department;
• Handle outgoing claims advice to customers, brokers and regional offices;
• Coordinating with regional offices and Finance Department in delivery of claims payment to client and medical providers;
• Monitor claims input by regional offices.
• Assist Claims Manager to undergo UAT in system enhancement; and
• Carry out ad-hoc duties as assigned by the Company.

• Tertiary education or above;
• 3-4 years Claims management experience;
• Knowledge in insurance principles;
• FLMI and/or medical knowledge would be an asset;
• Good communication skills with fluency in spoken and written English;
• Good PC skills in MS Word and Excel; and
• Fresh graduate is welcome. Candidate with less experience may be considered for the position of Assistant Claims Officer.

We offer competitive remuneration package. Potential candidates may send detailed resume with CURRENT & EXPECTED salary and EARLIEST AVAILABILITY to us by clicking "Quick apply".

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