Claims Operations Specialist
6 days ago
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 ResponsibilitiesService Functions:
- Manage claims-related functions, ensuring seamless delivery of Customer Connect Services including claims connect email, SMS, and mobile access.
- 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.
- Coordinate VIP claims efficiently, ensuring completion of claim requirements, status updates, and final decision communication.
- 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:
- Provide ad-hoc support for administrative and statistical report preparation, including UAT testing on claim initiatives.
- 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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