Claims Team Lead

A world leading insurance company is looking for a senior member for their Claims Unit in Bangkok.

Location: Bangkok

Role Purpose

• In a service-based claims environment, the Claims Team Lead will be responsible for taking
  claims through the claims life-cycle end-to-end. This starts with registering incoming
  claims, checking for relevant documentation, evaluating claims including complex and
  protracted claims, proposing decisions explaining your rationale, communicating with
  members, medical facilities, and other parties. The role focus is timely and accurate claims
  evaluation and decision making thus setting the pace and standard of work for the entire
  unit.
• The role will involve interaction with insured clients and medical facilities to obtain claimrelated information as well as respond to customer inquiries. The Claims team lead will use established processes and systems to evaluate and update claims records, performing
  administration when required.
• Operating as a part of a claims handling unit, the Claims Team Lead will use the in-depth product and procedural knowledge to advise colleagues, sharing expertise and experience.
• Must have the ability to evaluate claims in accordance with policy handbook, proposing a decision based on eligibility, accuracy, and verifiable facts and must have the communication skills necessary for high-level referrals to underwriters and department
  heads.
• With the support of Alliance, the Claims Team Lead will also be expected to develop his/her personal skills, experience, and abilities so that he/she may continually improve and be considered for career progression.

Duties & Responsibilities

• Relationship Management: Establish, develop, and maintain relationships with existing
  clients, providers, and other partners.
• Claims Handling: Take claims through the claims life-cycle. This includes registering
  incoming claims, checking for relevant documentation, evaluating claims including complex
  and protracted claims, proposing decisions explaining your rationale, and administering
  the closing of the claim record.
• Client Contact: In a customer-focused manner respond to telephone and email inquiries.
  Take ownership of claims considering the customer experience, the business need, and
  resolving inquiries exceeding their expectations.
• Representation: Promote and support the corporate visions, values, and brand identity by
  acting as an ambassador of the company.
• Communication Skills: Excellent interpersonal, written and verbal communication skills to express ideas or facts, orally or in writing, in a clear and persuasive manner to interact with clients and providers.
• Planning and Organising: Exceptional time management skills, energetic, and the ability
  to take a course of action to accomplish goals. This includes the triage of incoming work,
  collaborating with colleagues, and prioritising appropriately. The claims team lead will
  manage a caseload and must have the ability to plan and organize their work to facilitate
  claims turnaround time targets. This includes identifying opportunities for quick claims
  resolution and at the other end of the scale anticipating and managing organisational risk.
• Innovation: Ability to generate ideas and solutions to problems, including new ways of
  working.
• Information Technology: Experience using Microsoft applications, including Word, Excel,
  PowerPoint, and Outlook.
• Industry: Ability to develop existing knowledge of claims operations, insurance products,
  and the needs of the claims industry. You should either have the medical, investigative, or
  legal knowledge and experience.
  Attention to Detail: Ability to process claims in detail and with the highest level of accuracy.
  A keen eye to identify and resolve any errors in claims records. Ability to identify gaps in
  claims information and formulate and pursue lines of enquiry to address them.
• Customer Service Orientation: Ability to proactively and reactively engage with clients to
  address their queries.

Requirements 

– Dr or Senior Nurse Level
– Experienced in Leading Teams
– Insurance Knowledge
– Impeccable English

The role will involve interaction with insured clients and medical facilities to obtain claim-related information as well as respond to customer inquiries. The Claims team lead will use established processes and systems to evaluate and update claims records, performing administration when required. Save