Claims Senior Executive (Healthcare)

Claims handling
- Receive loss notification from clients and guide relevant procedures.
- Calculate and make claims reserve into company system.
- Check relevant information on insurance policy and coverage in connection with claims.
- Conduct survey or coordinate with hospital to investigate the loss.
- Check quotation, calculate and handles claims in an efficient manner.
- Receive claim over TPA's authorization, assessment and submit to Line Manager
- Check, follow-up recovery from Co-insurer (if any).
- Receive claim over TPA's authorization, assessment and submit to Line Manager
Data/system management, reporting and claim administration.
- Open, monitor and maintain adequate claim files.
- Ensure all claims data is properly input into company systems.
- Provide data and information to internal/external bodies for making related reports.
- Assist Line Manager in claims administration issues.
- Other tasks as required by Line Manager / Head of Department.