Assistant Manager, Claims Investigation Assistant Manager, Claims Investigation …

Great Eastern Life Assurance (Malaysia) Berhad
in Kuala Lumpur, Kuala Lumpur, Malaysia
Permanent, Full time
Be the first to apply
Competitive
Great Eastern Life Assurance (Malaysia) Berhad
in Kuala Lumpur, Kuala Lumpur, Malaysia
Permanent, Full time
Be the first to apply
Competitive
Assistant Manager, Claims Investigation
Job Description
Job ID: 001980

The Role:
  • To obtain medical evidence/report/history from clinic/hospital/doctor or to survey claimant's living progress to substantiate claims decision for investigation cases (esp. for death, TPD and CI claims)
  • To obtain duly completed Letter of Authorization/Consent and Letter of Declaration from policyholder
  • To initiate & follow up with clinic/doctor/hospital to obtain details of the policyholder's medical history and records, duly completed questionnaires, etc, on timely basis
  • To consolidate investigative findings and prepare recommendation for claim decision making based on feedback/information as a result of investigation
  • To process/handle medical report fee due to clinic/doctor/hospital
  • Survey claimant's living progress to substantiate claims decision
  • To attend to any other tasks assigned from time to time


Job Requirements
The Person:
  • Minimum a Diploma Holder with more than 5 years working experience
  • 3-5 years experience in claims analysis with a good knowledge of the insurance industry.
  • Knowledge in claim investigation, claims assessment, medical terminology and contract provisions
  • Know how in reporting procedures in enforcement departments within government
  • Possess initiative, good interpersonal and communication skills
  • Good management, organizational and leadership skills
  • PC literate
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