Senior Life Claims Manager
6 days ago
Established in Asia in 2013, FWD is the insurance business of investment group, Pacific Century Group, and spans Hong Kong & Macau, Thailand, Indonesia, the Philippines, Singapore, Vietnam, Japan and Malaysia, offering life and medical insurance, general insurance, employee benefits, Shariah and Family Takaful products across a number of its markets.
In Singapore, FWD aims to change the way people feel about insurance by leveraging technology to deliver products and services that are relevant, easy to understand and always convenient for our customers. To this end, we have a direct-to-consumer (DTC) platform that allows customers to buy their preferred life and general insurance products directly from our website; as well as a network of preferred Financial Advisory (FA) firms for customers who want to speak with an advisor before committing to an insurance plan. Whatever their preference, we believe insurance should be simple, reliable and convenient.
Similarly, if you are looking for a career where you can create a real impact and celebrate living, we invite you to join us on our exciting journey.
PURPOSE
- Responsible for the day-to-day claims operation duties within the team, ensuring valid claims are assessed according to Policy’s terms & benefits, approved and pay within the given authority limit, in accordance with FWD’s service philosophy and standards.
- Working with business users to gather and provide requirements, determining the potential solutions with technical and impact analysis, accountable for the successful implementation of claim system and processes for the product launch, including preparing test plans, perform and support UAT and provide training to the users.
KEY ACCOUNTAIBILITIES
- Review, assess and approve health, medical, critical illness, disability, accident claims within service turnaround time.
- Timeliness in reports preparation and completion of assigned tasks
- Handle complaints effectively and timely
- Attend to medical clarification with hospitals and clinics.
- Ensure all claims documentation and procedures adhere to company and claims management requirements.
- Ensure appropriate use of data intermediaries and other third-party vendors, as well as for transfers of personal data outside of Singapore, including ensuring that adequate contractual safeguards are put in place, and/or appropriate consents has been obtained.
- Responsible for compliance with applicable laws and regulations (including personal regulatory accountabilities in relation to fitness and propriety)
- Ensure that potential control gaps, failures or breaches that could or have already resulted in a regulatory breach are escalated in accordance with issued guidelines.
- Provides quality customer service including interacting with customers, answering customer enquiries and effectively handling customer complaints.
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