- Handle claims under WICA and other general accident.
- Collect, review, and verify claim documents (e.g. MCs, medical reports, invoices)
- Liaise with policyholders, intermediaries, investigators, surveyors, adjusters, investigators, lawyers, 3rd party claimants, sister companies etc.
- Ensure timely reporting to MOM and other regulatory bodies
- Add value to underwriters by advising underwriters on issues discovered during claims handling such as issues due to gap in policy wording and on risk improvement.
- Coordinate medical assessments for permanent incapacity cases
- Track case progress, respond to inquiries, and manage objections/disputes
- Maintain accurate claim records and support audits
Requirements:
- Diploma or higher in Insurance, Risk, or related field
- 1-3 years of technical claims processing experience
- Knowledge of MOM regulations and claims procedures
- Strong attention to detail and documentation skills
- Effective communicator, empathetic and process-driven
- Proficient in MS Office and claims systems
Experience Claims professionals kindly send in your CV for confidential discussion.
