• Đường dây nóng: 1900 54 55 70

Chi tiết vị trí tuyển dụng

  • Chức danh
  • Claim Assessor
  • Ngày đăng
  • 08/08/2017
  • Mã công việc
  • OP.04
  • Địa điểm
  • TP. Hồ Chí Minh

Mô tả công việc

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

Yêu cầu công việc

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

Kỹ năng nghề nghiệp

Knowledge

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

Skills/Competencies

Good Collaboration/Communication skills

Good presentation/negotiation skills

Leadership

Thinks and acts strategically

Development/Training to support Role Competencies

LOMA (280,290)

ICA is preferred 

Học vấn và kinh nghiệm

University graduated

At least 3 year experience in claim section as assessor

Good English in 4 skills (reading, writing, listening and speaking)