Đường dây nóng: 1900 54 55 70
Reviews claim cases to determine validity and verification of coverage.
Appraises and approves benefit claims within prescribed approval limits
Be able to provide the response to inquiries and complaints related to claims from claimants, advisors, other departments.
Participate in product/system/process development
Review claim cases and require for further information (from the clients or investigation) if necessary.
Assess and give claim decision within approval limit
Seek higher level’s decision for the cases that are over approval limit or complicated
Co-operate with Accountant for payment claim benefit as soon as possible
Co-operate with Legal depart. for seeking advice for complex cases that could lead to litigation
Co-operate with Compliance department for the fraud cases or suspected cases
Handle complaints and respond enquiries that related to claims from clients, advisor, CM, other departments
Participate in new product development, system & process enhancement
Support Sale force when necessary.
Other tasks assigned by manager
Basics of life insurance and insurance company operations.
Individual life, group life and riders - contract provisions.
Provisions of the Insurance Code of Vietnam, and other regulations related to claims
Claim Assessment, Legal Aspects of Claims
Medical background will be preferred
Systems – ING/eBao
Good Collaboration/Communication skills
Good presentation/negotiation skills
Thinks and acts strategically
Development/Training to support Role Competencies
ICA is preferred
At least 3 year experience in claim section as assessor
Good English in 4 skills (reading, writing, listening and speaking)