Wica Claims Executive
23 hours ago
Daily Responsibilities
- End-to-end WICA claims management from registration to finalisation
- Assess WICA claims in line with the MOM policy limits
- Work independently and make decisions
- Register claims accurately and timely to ensure all data is captured within the relevant platforms
- Collect accurate information and documents to proceed with the claim process
- Analyse claims made by policyholders to establish whether it satisfies the policy conditions
- Guide policyholders on how to proceed with claims
- Identify reasons why policy conditions do not apply
- Correspond with network providers and approved professionals
- Monitor the progress of a claim to assist with quick resolutions
- Investigate potentially fraudulent claims
- Prepare an initial estimate of costs ensuring reserves are updated throughout the claim lifecycle
- Act on advice from external specialists, such as medical experts, lawyers and loss adjusters on complex claims
- Investigate cause of loss ensuring it falls under policy coverage
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