Lowongan Kerja Claim Benefit Specialist PT Asuransi Central Asia

Lowongan Kerja Claim Benefit Specialist Terbaru PT Asuransi Central Asia.

Claim Benefit Specialist PT Asuransi Central Asia

Main Function:

To support the Claims Manager in providing a high‐level customer experience for both internal and external customers, as well as top tier level groups and brokers. You will act as liaison between the claims team and customers in order to facilitate a professional and expeditious claims process, taking full ownership of enquiries and complaint resolution and reporting. Key Responsibilities :

Support the claims team as the first point of referral for enquiries, as well as emails and telephone calls
Report to Senior CER / Claims Manager outstanding workloads on a daily basis via e‐mail or in agreed report format
To take ownership of and responsibility for customer enquiries politely and efficiently on the telephone (inbound & outbound) and over email, within boundaries of knowledge, ensuring that the claims process is as smooth as possible and enquiries are actioned within 1 working day
Participate in regular team meetings with staff and record minutes/action points when required
Assist/deal with projects as directed by Claims Manager
Keep the Claims Manager informed of procedural barriers and suggested enhancements.
To resolve any technical or contentious queries within the boundaries of medical knowledge and policy held
To ensure that all computer records are up‐to date and accurate
To ensure data protection questions have been satisfied before information is provided to any caller
To identify all complaints on receipt and deal with any as the first point of contact within technical skill level
Ensure all complaints are accurately logged on internal systems
To help analyze complaints trends and assist with the implementation of subsequent remedial actions
To liaise with any internal or external contacts to discuss medical conditions
To continually strive to improve and develop medical knowledge
To log and report on all claims enquiries received and answered, providing analysis on any trends that may occur
Produce scheduled and ad‐hoc claims reports when agreed by underwriting for other offices
Develop and maintain working relationships with business partners, providers, brokers and agents, to the highest level of customer service possible.
To promote the best image for the company through professional appearance and behaviors
Adhere to company standards and procedures
To maintain the highest level of personal conduct

Requirement :

It is essential that this individual has a good standard of education with excellent communication skills including excellent letter writing skills and telephone manner
Experience in a claims function within an insurance environment, service provider or health organization is preferable
The candidate will be able to explain concepts simply and unambiguously
The individual should also be computer literate and proficient in the use of the Microsoft Office suite
Good command in English: written and spoken required
Should be adaptable and able to work on own with minimal supervision
The role needs a high level of organizational and inter‐personal skills
The individual will need to demonstrate initiative and be able to prioritise varied and important tasks
Able to respond to team objectives

If you feel that you can meet the qualification and up to the challenge, please send your complete application (application letter, resume, expected salary, and any related supporting documents) and current color photograph at size 4 x 6 cm to:

Human Resources Department
PT. Asuransi Central Asia
Gd. Wisma Asia Lt. 15 Jl. Letjend S. Parman
Kav. 79 Jakarta Barat 11420

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