Perform the role of assessor and participate Claim’s project.
2: Key Responsibilities
2.1. Assess Major Claims requirement:
Assess and making Major Claims
Interact with Re-insurance to get final decision for claims process
Coordinate with other departments as requirement of improve claim process
Build and improve develop Claims procedure, enhance and simplify process to increase company’s competition
Sharing and coaching experience working in assessor team to improve quality and make sure consistency in evaluation claim requirement
2.2. Control fraud condition: Make fraud report via data and control fraud condition as Claim Manager’s requirement or auditor or Risk Management.
2.3. Discuss and collect information from assessor team to propose revising existing product, participate the project of revising product as ambassador of claims as Claim Manager’s requirement.
2.4. Participate Claims project as Claim Manager’s requirement
Participate in projects to creating new products to meet project’s requirement about timeline and meet Product specs
Participate in projects related to improve claims process and claim enhance
Participate in projects to improve CX of Claims
Participate in projects of Digital process
+ Propose business requirement
+ Review BRD
+ Clarifies requirement base on system
+ Propose test plan/ control testing process
Yêu Cầu Công Việc
3: Qualification and Experience
Qualification: University degree in economics, finance, medical, law or equivalent
Experience: At least 05 years relevant Claims. Have participated in building systems of claims
Certification: Loma 280/281 and 290/291
Communication: Proactively draws up and distributes information, anticipating readers’ reaction
Cooperative attitude: Promotes team spirit and solidarity and actively seeks cooperation, both inside and extending beyond the team itself.
Customer orientation: Anticipates customers’ wishes, goes the extra mile and is regarded as a constructive business partner.
Result orientation: Makes use of every opportunity to surpass the anticipated results and also encourages others accordingly.
Learning capabilities: Seeks and creates learning possibilities for himself/herself to develop and to learn from and with others. Helps and motivates others to learn.
Strategic thinking: Charts course within own professional area and provides ideas for the direction and development of the organization.
Planning and organization: Plans, coordinates and direct various kinds of activities, both for himself/herself and for others. Works out systems or procedures that make it easier to achieve the goals.
Change orientation: Encourages the necessary changes in own or adjoining professional areas and helps with their implementation.
Entrepreneurship: Develops or encourages the development of new products/services on the basis of a good insight into market developments and the company’s strengths and weaknesses.
4.2: Functional / Technical
Assess Major Claims and Project Participator requirement: Understand the TnC and SAP system, follow the processes to meet TAT and SLA, proactive evaluate customer requirement and make the right decisions.
Building system effectively with user: Customer centricity thinking, simplify process. Have good teamwork spirit and can work independently
English skill: At least Good reading and writing skill
Computer skills: PC literate in Windows Office (Word, Excel, PowerPoint)