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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