Claims Manager

II – DUTIES & RESPONSIBILITIES:

• Providing overall directions, supervisions, trainings to the claims staff through delegation of work assignments, projects, periodic meetings, and tasks required to satisfy corporate goals, objectives and strategies
• Developing; securing approval and implementing policies, procedures, and protocols necessary to achieve short and long-term goals and objectives for all product lines to ensure appropriate turnaround time and other service level agreements are maintained
• Communicating and adhering corporate policies and procedures, interpret and administer departmental objectives and quality standards consistent with guidelines established
• Reviewing the evaluations of employee performance and recommending appropriate coaching, training, developing and corrective actions for assigned departmental staff
• Producing, analyzing, monitoring and distributing departmental reports to identify key quality, productivity and service measures
• Assisting the Head of Claims to manage the general activities of claims and other functions of Operations department

III – QUALIFICATIONS:

• At least 5 years of experience as Manager position in Insurance industry
• University degree in Business Administration, Medical Doctor or others related field
• Good in English and MS Office
• Problem-solving, analytical and decision-making abilities
• Ability to cultivate and maintain interpersonal relationships with a broad cross-section of diverse people
• Oral and written communication, management, organization and interspersion skills
• Knowledge of insurance industry operations, health care benefits, structures, policies and procedures