Head of A&H Claims

Early Applicant

Exp: 5-7 Years

Insurance

Job Description

Job Description

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