HealthShield Technical Assessor
- Assess policy liability, investigate claims, compute and determine the claim amount payable based on policy cover and management guidelines, review LOG requests.
- Write report on claims cases to be escalated to management. Present case at committee meetings.
- Handle and manage claim enquiries/complaints from claimants, intermediaries etc.
- Compile, analyse and submit Claims reports as and when required.
- Liaise with intermediaries, hospitals and various other parties.
- Ensure that the various KPIs are met
- Undertake any other duties or projects as assigned by the supervisor or Head of Section
- Degree or Diploma holder with at least 4-6 years of Individual claims experience, Experience in shield claim will be an advantage
- CHI qualification preferable.
- Good analytical skills, meticulous with a flair for numbers and an eye for details, good written English, able to professionally manage disputes.
- Team player and self-motivated.
5 StonesHRM Pte Ltd