Job Description

:

Claims Vision

• To act in accordance with, drive, and further the aims set out in the claims vision: \xe2\x80\x9cto continually push the boundaries of customer excellence through an empowered, collaborative and innovative approach to claims; to be the envy of the market\xe2\x80\x9d, always demonstrating and upholding the company claims values.

proactively

Overview of role:

• To report to the Claims Manager, on claims handling (all lines) and proactively provide administrative assistance to the team as well.

• To continuously look for better ways of doing things and to suggest process or other enhancements, where appropriate.

• Contribute to project work, when required.

• To develop a thorough understanding of the underwriting and claims portfolio across the classes of business.

• To be the main contact point between WNS (fyi : a global business process management firm based in India) and the other internal stakeholders on the administrative tasks, including:

- Providing policy references, insured names etc. to WNS for claim registration.

- Advising WNS on the right DOL (fyi : Date Of Loss) in the event if the loss date falls out of the policy period (if loss is tagged to declaration period instead of policy period)

- Providing payment instructions to WNS

- For cases where we are unable to locate the claim file, to check with WNS on claim reference. If WNS has missed out on registration

• To assist in information exchange with Underwriters, including:

- Seeking underwriters\xe2\x80\x99 advice when we are unable to locate the right policy or insured

- Checking on the correct declaration year

- Compiling claims statistics

- Reconciling claims data provided by underwriters with that on our systems

- Discussion with the underwriters on claims issues (if required)

• Assist with tasks that involve the Finance function, such as:

- Booking of entries in Subscribe (fyi : software)

- Advising Finance if there are issues on the PRF (fyi : Payment Request Form) template

• Attending to instructions in accordance with the company Claims Manual, ensuring that all regulatory requirements are met, and that controls are operating effectively by achieving KPIs

• Quantitative reporting e.g., running reports on systems or answering queries related to systems\xe2\x80\x99 generated reports.

• Attend technical meetings regarding any updates/processes with regards to company\xe2\x80\x99s internal systems.

Skills and experience:

• Experience in Excel;

• Display excellent communication, organisational and interpersonal skills;

• Experience in claims handling

• Excellent attention to detail;

• Enjoy working with numbers; and

• Good problem-solving Skills

• Customer focused and understanding service delivery

• Work collaboratively and be a team player.

Flintex Consulting