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1. Overseeing admin team2. Process and settle contestable/incontestable major claim within TAT.
3. Ensure reminders are done monthly with close file review.
4. Actively participate in projects / initiative for continuous process improvement.
Processing
- Overseeing Admin Team to achieve better customer experience by ensuring department meet target service promise from branch received date to completion date for core functional areas.
- Process and settle contestable major claim within TAT and in compliance with procedure and guidelines
- Ensure Reminders on outstanding cases are done on monthly basis with close file review and documents/information are attended promptly upon request by Legal / Reinsurers and etc
- Ensure MDRT TAT is processed within 2 working days or in accordance to the agreed TAT.
- Pending management – to review pending cases every month and reduce pend ratio on the agreed goal set.
- OPAT savings – To monitor on the close file review and ensure timely provision reversal.
- To attend to OFS / BNM / lawyer cases within the timeline.
Productivity
- Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.
Enquiry
- Attend to enquiries / emails promptly and satisfactory.
Other Functions
- Suspense management – suspense is cleared within 3 days.
- Prepare and review SOP.
- Prepare daily performance report.
- Prepare weekly forecast report.
- Monthly audit and error report.
- Review and attend meeting on New Products.
- Attend meeting on all system related issue (enhancement, gap analysis, Day 2 items) pertaining to major claim.
- Roadshow / clinic review.
Assist Section Head /HOD from time to time.
Provide training to team members on living and contestable claim.
Actively participate in projects / initiative for continuous process improvement.
Perform other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements.
Build a career with us as we help our customers and the community live healthier, longer, better lives.
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