
Claims Specialist
5 days ago
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.
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