Expert of Claims
TNHH Bảo Hiểm Nhân Thọ MB Ageas (MB Ageas Life)
Hà Nội
3 ngày trước

Mô tả công việc

1 : Job Purpose

Perform the role of assessor and participate Claim’s project.

2 : Key Assess Major Claims requirement :

  • Assess and making Major Claims
  • Interact with Re-insurance to get final decision for claims process
  • Coordinate with other departments as requirement of improve claim process
  • Build and improve develop Claims procedure, enhance and simplify process to increase company’s competition
  • Sharing and coaching experience working in assessor team to improve quality and make sure consistency in evaluation claim Control fraud condition : Make fraud report via data and control fraud condition as Claim Manager’s requirement or auditor or Risk Discuss and collect information from assessor team to propose revising existing product, participate the project of revising product as ambassador of claims as Claim Manager’s Participate Claims project as Claim Manager’s requirement Participate in projects to creating new products to meet project’s requirement about timeline and meet Product specs Participate in projects related to improve claims process and claim enhance Participate in projects to improve CX of Claims Participate in projects of Digital process Detail task
  • Propose business requirement
  • Review BRD
  • Clarifies requirement base on system
  • Propose test plan / control testing process
  • Yêu cầu công việc

    1. Qualification and Experience

  • Qualification : University degree in economics, finance, medical, law or equivalent
  • Experience : At least 05 years relevant Claims. Have participated in building systems of claims
  • Certification : Loma 280 / 281 and 290 / 291
  • 2. Behavioral

  • Communication : Proactively draws up and distributes information, anticipating readers’ reaction
  • Cooperative attitude : Promotes team spirit and solidarity and actively seeks cooperation, both inside and extending beyond the team itself.
  • Customer orientation : Anticipates customers’ wishes, goes the extra mile and is regarded as a constructive business partner.
  • Result orientation : Makes use of every opportunity to surpass the anticipated results and also encourages others accordingly.
  • Learning capabilities : Seeks and creates learning possibilities for himself / herself to develop and to learn from and with others.
  • Helps and motivates others to learn.

  • Strategic thinking : Charts course within own professional area and provides ideas for the direction and development of the organization.
  • Planning and organization : Plans, coordinates and direct various kinds of activities, both for himself / herself and for others.
  • Works out systems or procedures that make it easier to achieve the goals.

  • Change orientation : Encourages the necessary changes in own or adjoining professional areas and helps with their implementation.
  • Entrepreneurship : Develops or encourages the development of new products / services on the basis of a good insight into market developments and the company’s strengths and Functional / Technical Assess Major Claims and Project Participator requirement : Understand the TnC and SAP system, follow the processes to meet TAT and SLA, proactive evaluate customer requirement and make the right decisions.
  • Building system effectively with user : Customer centricity thinking, simplify process. Have good teamwork spirit and can work independently English skill : At least Good reading and writing skill Computer skills : PC literate in Windows Office (Word, Excel, PowerPoint)

    Phúc lợi công việc

  • Laptop
  • Chế độ bảo hiểm
  • Phụ cấp
  • Chế độ thưởng
  • Chăm sóc sức khỏe
  • Đào tạo
  • Công tác phí
  • Nghỉ phép năm
  • Báo cáo công việc này

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