Mô tả công việc
Job Purpose
Support the Claims Management team in receiving, reviewing, updating, and monitoring insurance claims files to ensure data is processed accurately, completely, and in a timely manner. Participate in customer support activities, claims quality control, and process improvement initiatives to enhance operational efficiency and customer experience.
Key Accountabilities (1)
Claims Processing Support
- Receive, classify, and organize insurance claims documentation.
- Review submitted documents to ensure completeness in accordance with required document checklists.
- Assist in collecting, validating, and updating claim information in the system.
- Monitor claim processing progress and coordinate with relevant stakeholders to obtain additional documents when necessary.
- Ensure accurate and complete data entry of claims records.
Key Accountabilities (2)
Claims Quality Control Support
- Review processed claims data and documents to identify errors, discrepancies, or missing information.
- Assist in tracking operational metrics related to turnaround time and claims quality.
- Record common issues and provide recommendations for process improvements.
- Support the standardization of operational guidelines, forms, and document checklists.
Key Accountabilities (3)
Process Improvement and Digital Transformation Support
- Participate in initiatives to improve claims processing workflows.
- Assist in testing new tools, system functions, or operational enhancements.
- Promote the adoption of technology, AI solutions, and automation tools to improve efficiency and productivity.
- Contribute to the development of user guides, process documentation, and knowledge-sharing activities within the team.
Key Relationships - Direct Manager
Key Relationships - Direct Reports
Key Relationships - Internal Stakeholders
Key Relationships - External Stakeholders
Success Profile - Qualification and Experiences
- Final-year undergraduate student or recent graduate in Insurance, Finance, Economics, Business Administration, or other related disciplines.
- Good command of English, with strong written and verbal communication skills.
- Proficiency in Microsoft Office applications (Excel, Word, PowerPoint).