Claims Operations Specialist

6 days ago


Taguig, National Capital Region, Philippines FWD Group Management Holdings Limited Full time

FWD Group Management Holdings Limited is a leading pan-Asian life and health insurance business. As a customer-centric organization, we aim to deliver innovative solutions that make a meaningful difference in people's lives.

Key Responsibilities

Service Functions:

  1. Manage claims-related functions, ensuring seamless delivery of Customer Connect Services including claims connect email, SMS, and mobile access.
  2. Facilitate effective claims handling of denial and appeal cases, representing the company on escalated claim matters, VOC related claims, and other communication requirements with distributors and claimants.
  3. Coordinate VIP claims efficiently, ensuring completion of claim requirements, status updates, and final decision communication.
  4. Resolve customer service issues within target timeframes from all claims-related feedback/complaints received, escalating potential claims complaints to the UW/Claims committee.

Documentation and Special Projects:

  1. Provide ad-hoc support for administrative and statistical report preparation, including UAT testing on claim initiatives.
  2. Perform periodic responsibilities and duties assigned to meet operational requirements.

Job Requirements:

  • A college degree; business-related or pre-med course preferred.
  • Experience working in an insurance back-office claims operation is required.
  • Proficiency in Microsoft Office applications.
  • Effective communication skills with internal and external stakeholders.


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