Claims Specialist (WICA)
Singapore, SINGAPORE
Job description
Job Description
The commercial claim specialist plays a pivotal role in managing and assessing workman injury claims. This position requires a seasoned professional with extensive expertise in the general insurance domain, particularly in the field of claim assessment.
Key Responsibilities
· Claims assessment: Utilize deep knowledge and experience in the general insurance space to meticulously assess, investigate, and evaluate workman injury compensation claims.
· Policy adherence: Ensure compliance with company policies, local regulations, and industry standards while handling and processing workman injury claim.
· Communication and coordination: Collaborate effectively with internal teams such as operation, finance and sales; external stakeholders which include distributors, loss adjustors, investigators, lawyers, medical experts; and claimants to facilitate seamless claim processing and resolution.
· Documentation and reporting: Maintain accurate records, prepare comprehensive reports, and document all stages of the claims process, ensuring clarity, transparency, and compliance.
· Negotiation and settlement: Negotiate effectively with stakeholders to reach fair and equitable settlements for workman injury claims, considering all relevant factors and legal precedents.
· Continuous improvement: Enhance claim handling procedures and contribute to the continuous improvement of claims management protocols by staying updated with industry trends, legal changes, and best practices.
· Market knowledge: Stay updated with market trends, regulatory trends and in particular, MOM WICA legislative changes.
· Customer experience: Deliver excellent service to claimants and distributors and ensure that customers have a positive claims experience.
Qualifications and skills
· A minimum of 2 to 3 years of experience in assessing and managing workman injury compensation claims.
· Recognized diploma in any discipline.
· Possess CGI certificate.
· Profound understanding of workman injury compensation processes, Singapore regulations and relevant legal frameworks. Knowledge in medical claims will be preferred.
· Excellent verbal and written communication skills to interact with diverse stakeholders and convey complex information clearly and concisely.
· Meticulous attention to detail to ensure accuracy in claim assessment, documentation and reporting.
· Ability to adapt to changing environment, prioritize tasks efficiently, and handle a variety of tasks effectively.
· Good knowledge of MS Office software and any other technology applications
· Any AI-future skills e.g., ChatGPT, or CoPilot 365, will be an advantage to all job roles
81973 | Customer Services & Claims | Professional | Non-Executive | Allianz Singapore | Full-Time | Permanent