Manager, Claim (Non-Motor)
Job Summary
Manager, Claim (Non-Motor) is responsible for managing claim tasks includes reviewing claim report, checking daily tasks from claim officers, keeping good relationship with panel hospitals, looking for more panel hospitals, keeping good record of claim report and keeping management updated about the trends, training the team about claim review, and other related underwriting tasks.
key Responsibilities
The responsibilities of the Manager, Claim (Non-Motor) should include the following:
- Assist Head, Finance and Claim Operations to implement prudent claim strategies to achieve claim satisfaction from client.
- Ensure all valid claims are dealt with according to the policy coverage.
- Check and approve all valid claims promptly.
- Prevent and minimize claim leakage and fraudulent claim – Control and reduce claim cost.
- Dealing with customer’s complaint and appeal.
- Improve customer satisfaction and retention through effective and efficient handling of claims.
- Develop, implement, and control claim processes to deliver quality services to customers.
- Identify and implement training needs of claim staff to enable them to carry out their job effectively.
- Ensure all claims reported are recorded promptly with the correct reserve and reserves are reviewed and updated regularly based on the latest information.
- Working with Underwriting Department and Sales Distribution Department to implement risk improvement measures.
- Go to do a claim survey and gather all necessary claim information for non-medical products.
- Check and follow up for non-motor outstanding and claim payment for non-motor claims.
- Confirm Guarantee of Payment (GOP) for Bangkok Hospital Udon when our client admits to our panel hospital.
- Confirm IPD calculation for panel hospitals both in Laos and Thailand when the customer discharges the hospital.
- Build good relationships with panel clinics and hospitals.
- Manage Forte Toko medical hotline number (receive and answer the phone for clients, panel clinics and hospitals when our clients go to use the cashless medical cards at our panel clinics and hospitals both in Laos and Thailand…)
- Survey for new clinic and hospital both in Laos and Thailand to do the service agreement and recruit them to be panel clinics and hospitals.
- Preparing claim report to update to management and other HODs in the HOD meeting.
- Guide and lead the team to work responsibly and with high standard.
- Monitor and control claim process for claim efficiency.
- Managing and coaching claim staff in their daily work.
- Prepare monthly outstanding claim report.
- Conduct monthly department meetings with claim staff.
- Other duties as assigned by the Line Manager.
Leadership and Management:
- Establish and uphold high standards of operations performance and ethics for the team in line with Forte Group’s to ensure effectiveness, efficiency, and social responsibilities are met.
- Lead and motivate subordinates to advance employee engagement develop a high performing managerial team.
- Lead and develop the team to ensure their professional growth and sustainable company succession.
- Promote career development and create a conductive working environment for teamwork and growth.
- Lead by example the highest standards in terms of teamwork, customer, staff care, and management competence and ethics.
- Manage team KPIs and performance management.
Committee Members:
Manager, Claim (Non-Motor), you will work closely with Head, Finance and Claim Operations and Chief Executive Officer. You will be in Claims Committee and Product Development Committee.
Job Requirements
Experience and Qualification:
- Experience from Insurance Industry or other related industries (3-5 years).
- Experience in Insurance Claim Department or management level (2-3 years).
- Good communication and presentation skills in Lao and English.
- Analytical abilities and problem-solving skills.