Understand Life, Health and PA insurance and able to give advice to clients, claimants, policyholders, brokers and other experts on claim perspective.
Reviews and understands incoming documentation and new claims notifications.
Able to advice on documents required to ensure all documents are collected at once in order to submit the claims properly within timely manner.
Identifies which policies or parts of the coverage that may be effected by incoming claims, seeks validation where necessary, and advice where uncertain or clarification required to ensure the proper protocol is followed.
Determines coverage for incoming claims through use of client’s knowledge of the policies as well as communicating with Underwriters Insurers to help their clients manage their incoming claims and ensure that claim management processes adheres to established standards.
Liaises with clients both by phone and email for specific claim-related issues or client service concerns to resolve issues.
Communicates with clients, colleagues, third parties or insurers on an ad hoc basis to receive status updates, information requests, instructions or query resolution; may also provide advice to clients on common claims topics.
Generates and supplements claims reports to ensure accurate records are produced and distributed.
Facilitates collection from insurers on claims and tracks the different parts of claims being paid for various claims settlements in order to keep orderly record of ongoing work.
Ensure that all claims are registered and completed in agreed SLA with good service quality.
What you need to have:
At least 5 years of relevant experience in claim services management positions in broking industry/ insurer
Good knowledge of Life, Health and PA insurance business operations.
Highly motivated team player with strong interpersonal skills
A proven track record of technical ability, claim operation and stakeholder management.
Stakeholder management skills up to and including senior executive level
Excellent communication skills both written and verbal and presentation skills.
Good command in English.
Good analytical skills with skill on MS Office especially MS Excel.
Good time management with job prioritization.
Strong sense of urgency with excellent service mind.
Able to work under pressure
What makes you stand out:
Extensive Experience: A proven track record in claims management, demonstrating the ability to handle complex claims and lead a team effectively.
Strong Leadership Skills: Experience in mentoring and developing team members, fostering a collaborative and high-performance work environment.
Analytical Expertise: Proficiency in analyzing claims data to identify trends, improve processes, and implement cost-saving measures.
Excellent Communication: Strong verbal and written communication skills, enabling effective collaboration with internal teams, clients, and external stakeholders.
Customer-Centric Approach: A commitment to providing exceptional service to clients, ensuring their needs are met throughout the claims process.
Regulatory Knowledge: In-depth understanding of industry regulations and compliance requirements, ensuring that all claims are handled in accordance with legal standards.
Problem-Solving Abilities: A proactive approach to identifying issues and developing innovative solutions to enhance the claims process.
Technological Proficiency: Familiarity with claims management software and tools, leveraging technology to streamline operations and improve efficiency.
Adaptability: Ability to thrive in a fast-paced environment, managing multiple priorities and adapting to changing circumstances.
Commitment to Professional Development: A dedication to continuous learning and staying updated on industry trends and best practices.
Why join our team:
Competitive salary and benefits package.
Opportunities for professional development and career advancement.
A supportive and inclusive work environment.
Flexible working hours, hybrid work options, wellness programs.
We are seeking a dynamic and experienced Claim Manager to join our Operation &Technology in Thailand team. The Claim Manager will be responsible for overseeing the claims process, ensuring timely and accurate handling of claims, and providing exceptional service to our clients. This role requires strong leadership skills, attention to detail, and a deep understanding of claims management processes.
We will count on you to:
Understand Life, Health and PA insurance and able to give advice to clients, claimants, policyholders, brokers and other experts on claim perspective.
Reviews and understands incoming documentation and new claims notifications.
Able to advice on documents required to ensure all documents are collected at once in order to submit the claims properly within timely manner.
Identifies which policies or parts of the coverage that may be effected by incoming claims, seeks validation where necessary, and advice where uncertain or clarification required to ensure the proper protocol is followed.
Determines coverage for incoming claims through use of client’s knowledge of the policies as well as communicating with Underwriters Insurers to help their clients manage their incoming claims and ensure that claim management processes adheres to established standards.
Liaises with clients both by phone and email for specific claim-related issues or client service concerns to resolve issues.
Communicates with clients, colleagues, third parties or insurers on an ad hoc basis to receive status updates, information requests, instructions or query resolution; may also provide advice to clients on common claims topics.
Generates and supplements claims reports to ensure accurate records are produced and distributed.
Facilitates collection from insurers on claims and tracks the different parts of claims being paid for various claims settlements in order to keep orderly record of ongoing work.
Ensure that all claims are registered and completed in agreed SLA with good service quality.
What you need to have:
At least 5 years of relevant experience in claim services management positions in broking industry/ insurer
Good knowledge of Life, Health and PA insurance business operations.
Highly motivated team player with strong interpersonal skills
A proven track record of technical ability, claim operation and stakeholder management.
Stakeholder management skills up to and including senior executive level
Excellent communication skills both written and verbal and presentation skills.
Good command in English.
Good analytical skills with skill on MS Office especially MS Excel.
Good time management with job prioritization.
Strong sense of urgency with excellent service mind.
Able to work under pressure
What makes you stand out:
Extensive Experience: A proven track record in claims management, demonstrating the ability to handle complex claims and lead a team effectively.
Strong Leadership Skills: Experience in mentoring and developing team members, fostering a collaborative and high-performance work environment.
Analytical Expertise: Proficiency in analyzing claims data to identify trends, improve processes, and implement cost-saving measures.
Excellent Communication: Strong verbal and written communication skills, enabling effective collaboration with internal teams, clients, and external stakeholders.
Customer-Centric Approach: A commitment to providing exceptional service to clients, ensuring their needs are met throughout the claims process.
Regulatory Knowledge: In-depth understanding of industry regulations and compliance requirements, ensuring that all claims are handled in accordance with legal standards.
Problem-Solving Abilities: A proactive approach to identifying issues and developing innovative solutions to enhance the claims process.
Technological Proficiency: Familiarity with claims management software and tools, leveraging technology to streamline operations and improve efficiency.
Adaptability: Ability to thrive in a fast-paced environment, managing multiple priorities and adapting to changing circumstances.
Commitment to Professional Development: A dedication to continuous learning and staying updated on industry trends and best practices.
Why join our team:
Competitive salary and benefits package.
Opportunities for professional development and career advancement.
A supportive and inclusive work environment.
Flexible working hours, hybrid work options, wellness programs.
Marsh McLennan Agency
INNOPAY
TIH
Lippincott
Brighton Health Plan Solutions