Assistant Manager, Claims Support

Great Eastern Lihat semua pekerjaan

  • Kuala Lumpur
  • Tetap
  • Sepenuh masa
  • 2 hari lepas
Are you passionate about making a meaningful impact on Life and Healthcare insurance space?Join us as Claims Support Assistant Manager, where you’ll play a vital role in ensuring our policyholders receive accurate and timely claim payment when they need it most. In this role, you will play a critical part in ensuring claims submissions and reserves are registered accurately, processed efficiently, and supported by complete and well organized documentation—enabling smooth downstream claims assessment and excellent customer experience. You will also be supporting the administrative duties for end to end claim processing and given the opportunity to participate in continuous process improvement initiatives, enhancing overall customer’s experience. * Claim Registration & Payment Admin
  • Assist Team Lead to provide technical guidance and mentor a cluster of Associates.
  • Handle end to end claims registration and setting reserves in the core and workflow imaging systems with high accuracy and within required turnaround time (service standards).
  • Conduct screening of claim documents and verify policy information, including customer’s details, policy number, coverage, policy status with full attention to detail and ensuring submissions are complete and valid.
  • Handle payment requisitions, payment rejections and payment escalations for approvals.
  • Request for claim documents for incomplete submissions and proactively invite for death claim submissions.
  • Review, validate and approve claim registration decisions recommended by Associates within the authority limit empowered.
  • Claims Documentation & Records Management
  • Perform screening, sorting and recording of incoming documents from digital submission channel.
  • Prepare and manage claim documents, including merging, splitting, and organizing submissions based on benefit type and provider category.
  • Cross check information across different product systems to achieve seamless claim experience
  • Customer & Business Partner Relations
  • Liaise professionally with policyholders, claimants, agents, medical providers and internal stakeholders to follow up on outstanding requirements and ensure smooth claims processing.
  • Provide excellent service and build strong working relationships with customers and distribution channels through responsive and empathetic support to achieve smooth claims processing operations.
  • Handle and provide guidance to Associates on sensitive customer escalations to achieve fair and timely resolution.
  • Compliance, Process Improvement & Team Support
  • Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations.
  • Support continuous improvement initiatives and manage execution of process and system enhancements performed by staff while maintaining service excellence.
  • Take on ad hoc administrative or operational tasks as assigned by the supervisor.
Qualifications
  • Diploma or degree holder in business or healthcare administration, preferably with 3 to 5 years of experience in claims administration, operations support, or customer service
  • Strong knowledge in insurance claims or policy administration workflows.
  • Strong communication, stakeholder management and decision making skills.
  • High resilience in a fast paced environment.
  • Customer-centric and meticulous with the ability to work under pressure.
  • Possess good communication skills and a proactive approach to problem-solving.
  • Are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence.

Great Eastern