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Head of A&H Claims



Bangkok, Thailand
Posted on Friday, August 18, 2023

Your everyday

  • Coordinate with relevant stakeholders to provide best customer service
  • Approve claims within authority & establish fair practices in claims settlement in terms of claim genuineness, liability & breakdown assessment
  • Keep stakeholders informed on the progress of the claim
  • Update necessary claim information into database & ensure staff’s accuracy in data-entry
  • Ensure claims operation is in compliance to regulatory guideline
  • Provide necessary support in accordance to Company’s directive
  • Manage fraud, safeguard Company’s interest by acting on leakages and ensure accurate liability assessment
  • Provide report on TAT, outstanding & irregularity listing to HOD on weekly basis with action plan
  • Handle and manage authority regulatory matters and complaints within timeline
  • Ensure departmental KPIs meet management requirement
  • Conduct check & balance & monitoring within internal & external processes
  • Perform quarterly evaluation on panel vendors
  • Conduct necessary training & transfer of job knowledge on regular basis
  • Analyze claims & report to HOD on any irregular trends & malpractices & correct recoveries from all parties
  • Ensure claim cases with large amount has been informed to re-insurer and comply with company retention (if any)
  • Ensure Cash Calls & XOL’s are monitored & made in timely manner (if any)
  • Administer best practices & smooth day-to-day operation
  • Prepare necessary reports as required by HOD
  • Handle any other portfolio as required by management

Your profile

  • Bachelor degree or higher, preferably in nursing science.
  • Knowledgeable in health and accidental claims.
  • At least 5 years of insurance experience.
  • Be reliable and skilled in communicating.
  • Good analytical skills.
  • Strong leadership.
  • Self-starter with readiness to groom the team towards service excellence.
  • Computer literate with focus on process & system improvement.
  • Good command of spoken and written English.