Process Developer, Claims Admin!

Assisting customer/members to lodge claims and guiding them throughout the process.

Registration of claims both through the online system and emails

Completion of claims inboxes and responding to customers enquiries via email/phones.

Taking immediate action when confronted with a medical emergency or made aware of a situation such as vulnerable, financial hardship etc.

Taking ownership of each customer contact to resolve customer issues and connect them with claim assessors when appropriate.

Resolving issues without or with limited management interventions.

Providing claim status information, benefit coverage interpretations, and explaining policy inclusions and exclusions.

Understanding the customer, including circumstances, problems, needs & expectations.

Lodging and maintaining incidents as per defined SOPs.