Claim Investigator Senior Specialist

Claim Investigator Senior Specialist

Địa Điểm Làm Việc: Hồ Chí Minh
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Các Phúc Lợi Dành Cho Bạn

Group insurance for you and your family
Frequent engagement activities
Hybrid way of workings

Mô Tả Công Việc

JOB PURPOSE:

This role is designed to perform with doing the investigation of all claims that need to clarify the true cause of an insurance event, to help assess claim promptly and accurately for clients but at the same time comply with company strategies to ensure credibility.
Be able to the proactively set the orientation of the investigation for efficiency verification in each case claim.


MAJOR RESPONSIBILITIS:

• Doing investigate in the claim cases need investigation. Always finding the most effective verification methods but must follow the law and compliance rule.
• Be honest and take responsibility for the results of his own investigation report.
• Regularly discuss and seek support from more senior managers or colleagues for cases of over verification ability or complicated. Guaranteed standard verification times for all cases
• Strengthen connectivity and establish legally relationships with hospital partners.
• Self-control of time and plan of the investigation. Control strict the investigate time within TAT claim limits.
• Support and backup team leader in organizing and running the work of investigation team.
• Review claim cases and require for further information if see necessary during investigation.
• Coordinate control investigation expenses reasonably and ensure compliance with regulations on expenses
• Co-operate with Legal for seeking advice for complex cases that could lead to litigation. Co-operate with Compliance department for the fraud cases or suspected cases.
• Handle complaints related and respond enquiries that related to claims from clients, advisor, CM, other departments.
• Participate in the assess and give claim decision within approval limit when necessary (if any)
• Coordinate, support colleagues in all operations. Execute and comply with other tasks assigned by manager and leader
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Yêu Cầu Công Việc

SPECIALIZED KNOWLEDGE:
• Communication skills to interact with dynamic personalities to obtain information.
• Logical thinking.
• The ability to handle multiple tasks at one time.
• Work in an organized manner.
• Ability and willingness to learn and adapt to the working environment
• Proficient in Microsoft Office (Word, Excel, Access, PowerPoint)

EDUCATION AND EXPERIENCE:
• Knowledge of police, law, medical and insurance
• Have job experience and skills
• Prioritize have good knowledge of life insurance

Địa Điểm Làm Việc

LIM Tower 3, 29 A Nguyen Dinh Chieu, Da Kao Ward, District 1, Ho Chi Minh City

About Sun Life Vietnam

Sun Life Vietnam (Sun Life) is a life insurance company with 100% capital from Sun Life Financial – A leading international financial service organization with 155 years of experience from Canada. Sun Life is an established industry pioneer and market leader in pensions for both individual and corporate clients in Vietnam.

At Sun Life, we are driving innovation. Our success depends on looking ahead – remaining at the forefront of product development, embracing technology and responding to new realities.

Working at Sun Life, you’ll be challenged and inspired to be your best, every day. Surrounded by people who recognize your potential and encourage you to flourish, you’ll be rewarded for your contributions as an individual and a group.

At Sun Life, we hire the best and brightest. Are you ready to shine?

Xem toàn bộ thông tin công ty
29th Floor, Vietcombank Tower, 5 Melinh Square, Ben Nghe Ward, District 1, HCMC
500-999 nhân viên
Talent Acquisition Team
Bảo Hiểm Sức Khỏe Cho Người Dùng VietnamWorks | Hợp tác cùng Tokio Marine Vietnam

Bảo Hiểm Sức Khỏe Cho Người Dùng VietnamWorks | Hợp tác cùng Tokio Marine Vietnam

Mức phí tốt nhất chỉ từ 600.000 VND/năm

Cung cấp bảo hiểm cho người thân: Cha Mẹ (lên tới 70 tuổi) và Con

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