Associate, Claims Investigation at Great Eastern · Kuala…

Conduct investigation to substantiate claim decision for Life and Health claims.

Review and study cases and develop investigation plan

Obtain duly completed Letter of Authorisation/Consent and Letter of Declaration from policyholders

Initiate and follow-up with clinic/doctor/hospital to obtain details of the policyholder's medical history and records, duly completed questionnaires and etc.

Consolidate investigative findings and prepare recommendation for claim decision making based on feedback/information as a result of investigation.

Proper documentation of investigation evidences.

Process/handle medical report fee due to clinic/doctor/hospital

University Degree in any discipline. Other professional qualification would be an advantage

At least 2-year experience in claims analysis with a good knowledge of the insurance industry.

Key Competencies: i) Problem solving and decision making ii) Good written and verbal communication iii) Customer oriented person iv) Integrity and trustworthy v) Organised and proper planned vi) Teamwork and cooperation