Claims Examiner/Assessor (Travel Insurance)

Job Summary:

• 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

Qualifications:

• Bachelor's Degree in a related field
• Experience in Insurance products and Travel Insurance would be an advantage
• Experience of 1-2 Years in the Insurance Business would be an advantage
• 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