About the role
Review, assess and approve shield claims within service turnaround time, ensuring accuracy and compliance with internal policy and regulatory requirements. Attend to claims investigations, medical clarification, and provide quality customer service.
BankingOnsite
Key Responsibilities
- Review, assess and approve shield claims within service turnaround time. Ensure the output is accurate and compliant to internal policy and regulatory requirements.
- Attend to claims investigations, service recovery and enquiry.
- Attend to medical clarification with hospitals and clinics.
- Involve in projects assigned by supervisor.
- Provides quality customer service including interacting with customers, answering customer enquiries and effectively handling customer complaints.
Requirements
- Strong command of the English language (spoken and written).
- Familiarity with human anatomy, general diseases and disease management.
- 2 years of experience as a Life & Health claims assessor.
- Professional qualifications: OMA, FLMI (Fellow, Life Management Institute).
- Degree holder of biology & life sciences discipline.