Check data entry processes to ensure compliance with minimal error
Assessment of claims in accordance with policy contract and guidelines and approved within the authority limit given
Verify claims / reports and ensure accuracy in them
Ensuring emails and telephone call enquiries are well-managed and respond in a timely manner as per KPI
Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT).
Responsible for follow up with the end-users ie, policyholders, medical institutions and financial advisers on all issues relating to a claim with the aim of obtaining adequate information to make a decision.
Analysis workflow processes and streamline when necessary for efficiency
Look into enhancement of existing system and participate in IT discussion/ UAT testing