The Assistant Manager will be responsible for overseeing the day-to-day operation and management of the claims team. This role requires a meticulous attention to detail, excellent organizational skills, and the ability to lead a team.
Key Roles and Responsibilities:
- Ensuring claims are assessed according to Policy Contract and guidelines
- Oversee and ensure claim settlements are concluded within the agreed turnaround time
- Oversee and ensure emails and telephone call enquiries are responded in a timely manner
- Investigate complex cases or complaints submitted by clients and provide solutions to the cases/complaints
- Communicate effectively with clients and intermediaries to ensure a satisfactory resolution of the cases/complaints within a reasonable timeline
- Oversee and ensure that regular reports on case resolutions are provided to internal stakeholders and external clients
- Review and enhance work processes with internal and external stakeholders to improve customer experience
- Work with stakeholders to implement the enhanced work processes
- Mentor and guide junior staff to build claims assessment competency, medical knowledge and communication skills through coaching and training
- Review claims processes and participate in process improvement projects, initiatives and system enhancement for the department, including establish claims best practices
- Oversee and ensure the team comply with regulatory and risk management controls, corporate policies, procedure and claims guideline. To highlight any potential concerns or risks and takes appropriate steps to mitigate the risks
- Any other ad-hoc projects assigned by the management
- Required to travel to PH on a frequent basis
Qualifications:
- Diploma or higher educational qualification
- Completion of Health Insurance Certificate is preferred
- Claims Experience of at least 3 years in Health Claims
- Proficient in Microsoft Office applications such as Excel, Word and Powerpoint
- Good command of both written and spoken English.
- Team Player and self-motivated
- Ability to work with tight timelines and under pressure
- Keen eye for details
- Highly organised around multiple priorities and timelines
- Good communication and people skills
