Claims Associate - Travel Insurance (Good English)

Job Summary:

The Claim Examiner will be responsible for performing the daily claim process per service level agreement and ensuring the standard of service quality and productivity targets as Claim KPIs Team for all assigned tasks in travel claims and the day-to-day activity of claim team productivity.

• Process all Medical claims, extended warranty claims, having regard to the validity of the policy/claim, policy limits, the circumstances surrounding the claim, cost containment opportunities, and Company service standard requirements/timeframes for the processing and finalization of all claims
• Medical review and follow-up medical information, claim assessment
• Provide Claims Management reports as evidence of the service standards being achieved
• Liaise with others to coordinate tasks and processes in the management of emergency medical claims
• Liaise with external providers as appropriate to ensure claims are managed in a cost and time-effective manner in line with Company service standards and expectations
• Liaise with internal Travel Insurance Manager for the approval or decline of claims
• Prepare letters and other documentation as necessary subject to Company service standards
• Provide optimum levels of customer service by answering any questions professionally, listening, and developing a rapport with the customer, and taking all necessary actions to meet customer expectations and solve customer problems in a timely and efficient way
• Provide quality follow-through and excellence in service in all dealings with customers and client companies
• Provide an honest and fair assessment of the status of workload to management
• Ensure the status of claims handled reflects the true status of the claims
• Ensure that estimates are maintained as a true reflection of the potential or actual claim exposure
• Prepare and submit reports to the Medical Claims Manager as required

Qualification:

• Bachelor's Degree in a related field
• Computer Literate and able to work efficiently with Word and Excel as a minimum
• Possess good conceptual, analytical, and problem-solving skills
• Self-motivated and able to work with minimal supervision
• Good team player
• Good in English communications, writing, reading, and speaking

Good to have:

• Experience in Insurance products and Travel Insurance would be an advantage
• Experience of 1-2 Years in the Insurance Business would be an advantage

AI READINESS

Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.

What we offer:

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.