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Job Overview

We are seeking a skilled professional to fill the role of Claims Assessor. The ideal candidate will be responsible for reviewing, assessing and approving shield claims within a set timeframe.

Main Responsibilities:
  • Conduct thorough reviews of shield claims to ensure accuracy and compliance with internal policy and regulatory requirements.
  • Collaborate with various stakeholders to resolve claims investigations, service recovery and enquiries in a timely manner.
  • Pursue medical clarification with hospitals and clinics to ensure seamless claim processing.
  • Participate in assigned projects as directed by supervisor.
  • Deliver exceptional customer service through effective communication, issue resolution and complaint management.
Key Qualifications:
  • Excellent command of the English language (spoken and written).
  • Familiarity with human anatomy, general diseases and disease management principles.