Claim Investigation (Life Insurance)

Role Purpose: The main purpose of this position are verification of Claim investigation, support in promptly and correctly settling and handling all of the risk coverage claims other than timely contractual benefit claims. Reading, analyzing and evaluating medical records
Autonomy :
- Answer directly the customer complains after issuing the claim decision.
- Collecting the claim document and information automatically.
- Requesting the customer to add the necessary documents for the claim.

Problem Solving
- The customer demand to know the claimed result immediately after submitting the claim document.
- Normally, that accident has the police report, but the customer doesn’t declare it.
- Some hospital refuses to give the medical information.

Job Requirements
- Ensure all claim investigations (where relevant) should be done promptly and effectively.
- Ready to go working far.
- Ensure that clear and timely communication is made to the sales force and customers in relation to claims handling and payments
- Ensuring efficiency and effectiveness of each transaction/ process and the integrity of the claims handling process
- Work under high pressure
- Actively seek ways to make continuous improvement to all processes

Qualification
- Responsibility, Honestly, Initiative.

Knowledge

- University graduate
- Knowledge of law, policeman, medical, insurance.
- Have job experience and skills
Skills
- Proficient in MS Office.
- Communication skills.
- Logical thinking.
- Work in an organized manner.
- Ability and willingness to learn and adapt to the working environment.

- Healcare

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