About the Job
- Conduct investigation to substantiate claim decision for Life and Health claims.
- Review and study cases and develop investigation plan
- Obtain duly completed Letter of Authorisation/Consent and Letter of Declaration from policyholders
- Initiate and follow-up with clinic/doctor/hospital to obtain details of the policyholder's medical history and records, duly completed questionnaires and etc.
- Consolidate investigative findings and prepare recommendation for claim decision making based on feedback/information as a result of investigation.
- Proper documentation of investigation evidences.
- Process/handle medical report fee due to clinic/doctor/hospital
We are looking for people who
- University Degree in any discipline. Other professional qualification would be an advantage
- At least 2-year experience in claims analysis with a good knowledge of the insurance industry.
- Key Competencies:
i) Problem solving and decision making
ii) Good written and verbal communication
iii) Customer oriented person
iv) Integrity and trustworthy
v) Organised and proper planned
vi) Teamwork and cooperation
Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.