Operation Specialist, Policy Servicing

Brickfields, Kuala Lumpur, Malaysia

Job Description

Mohon

Kelayakan

  • A Bachelor's Degree in any field
  • 2-3 years of experience handling Employee Benefits Insurance Claims
  • Proficient in MS Office (Pivot Table, Excel Formulas and Words)
  • Ability to understand & speak Cantonese to support Hong Kong market & customers
  • Must possess professional and friendly attitude and be able to quickly develop a rapport with customers over the phone
Tanggungjawab

What can you expect?
  • Be a part of a regional operational shared service center
  • Interact diverse colleagues and stakeholders from various line of business within organization
Job Responsibilities:
  • Registration, Processing and Adjudication of claims within turnaround time.
  • Assists in the determination of claim liabilities, value, and service provider fees and sets reserves, with low financial authority, according to company and legal standards
  • Ensure computed claims settlement and verified reimbursements from insurers are valid.
  • Diligently monitor and follow-up on unsettled claims with insurers and/or outstanding information from clients.
  • Interact with stakeholders to ensure proper execution of tasks.
  • Prepare claims statistic report on a monthly basis include, updating the documentation processes.
  • Proactively identify problems with the team or client and provide solutions.
  • Participate in project initiatives to improve efficiency and productivity of the department.
  • Provide quality customer service to clients over phone call, email or on portal navigation to resolve client's enquiries efficiently, including liaising with internal & external clients.
  • Follow up customer calls where necessary and document all call information according to Standard Operating Procedures (SOP) while ensuring SLA requirements are met.
Manfaat
  • Career Development and Training Opportunities
  • Explore opportunities to work on regional and global projects
  • Conducive Smart Office work environment
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Job Detail

  • Job Id
    JD860237
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Brickfields, Kuala Lumpur, Malaysia
  • Education
    Not mentioned