Responsibilities
Responsibilities
- Handling,
Processing, Recommend Settlement of claims in accordance with policy
contract, company policy and procedures.
- Compliance
of all the claims processes, procedures and guidelines as stipulated in
the Claims Operation Manual and/or instructions.
- Provide
quality, prompt and efficient claims service to meet Customer satisfaction
- Review/follow
up on all outstanding claims on regular basis to ensure claims reserve are
adequate and status updated.
- Maintain
a low pending ratio of outstanding claims (prompt disposal of claims to
reduce number of outstanding claims.)
- Assist
superior to handle major large losses / event losses / complicated /
litigated claims i.e. preparation of Major Loss Advice (MLR), preliminary
loss / development and settlement loss / cash calls advices to
co/reinsurers on timely manner.
- Keep
Reinsurance and Finance advised of any material claims as set in the claim
manual / procedures and work with Reinsurance to effect recoveries.
- Keep
ratio of outstanding claims at healthy level.
- Highlight
to supervisors and/or HODs of any deficiency in policy coverage and
adverse claims trends to facilitate corrective and appropriate action.