Assistant Manager, Claims

Assistant Manager, Claims is responsible for overseeing the entire claims assessment process, including benefit explanation.
- Obtain all necessary information on claims for the purpose of completing processing.
- Uncover fraudulent claim scheme.
- Orient the investigator to verify the information of the insurance event and pre-existing condition if any.
- Develop and maintain a strong understanding of insurance policies and legal issues.
- Input claims into the computer system accurately.
- Contribute to the continuous development of the claims process by identifying and implementing several opportunities for the development of products and process improvement.
- Suspending claims requires further investigation to resolve them appropriately.
- Proactively seek to clarify and resolve claims using the best method of communication and initiative.
- Responding to all relevant incoming correspondence and queries from the company's internal departments.
- Work on a shift basis as required by the organization.
- Protect the interest of the insurance company when dealing with claimants.
- Train and mentor other members of the claims team.
- Take steps towards team development, engagement, and motivation.
- Assist with other claims tasks as needed.