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Claims System Specialist

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Job Summary

  • Responsible for Claims operational support, business process analysis and other responsibilities / duties periodically assigned by supervisor to meet operational and/or other requirements.

  • Manage claims related projects based on business needs and requirements i.e regulatory, improve customer experience, system enhancement related to products or improve efficiency of the team.

  • Monitor system related issues and follow through with IT team until resolution.

Job Functions

  • Participate in system enhancement, process improvement and digital projects.

    Role and Responsibilities including:

  • Liaise and coordinate with superior and IT /Stakeholders.

  • Participate in project meeting.

  • Prepare system/business requirement and business process review.

  • Perform User Acceptance Testing (UAT)

  • Prepare test script.

  • Prepare sign off document from stakeholder.

  • Prepare implementation sign off document.

  • Assist superior to monitor the result.

  • Perform all activities achieved the reasonable quality, performance and within the agreed timeline given.

  • Review and recommend measure to improve the existing process and system.

  • Perform data analysis and presentation to support business decision.

  • Responsible to perform Quality Check or sampling review as per Quality Assurance Framework. Update the report to management on monthly basis.

  • Establish and update guidelines, working instructions and standard operating procedures.

  • Ensure that timeline and objectives as agreed with superior for any other assignments / projects that may be assigned are met or exceeded.

  • Assist superior in developing project plan to be shared with all stakeholders (for Claims projects).

  • Coordinate and maintain relationship with internal stakeholders and third parties/ vendors for the execution of projects.

  • Assist superior in resources allocation for the projects i.e delegate tasks to team members.

  • Manage changes to the project scope and project schedule, as necessary.

  • Monitor and track progress of the projects as well as ensure delivery of the project timely or escalate to management for any roadblock that may affect the timeline.

  • Track project performance specifically analyze the successful completion of short and long-term goals.

Job Qualifications

Education :

Degree with relevant experience

Experience:

Minimum 5 to 10 years working experience in Insurance Industry

Key Skills/ Knowledge:

  • Good communication skill –verbal and written

  • Analytical skill

  • Ability to produce high quality work under pressure and right attitude for work

  • Good problem solving skill

  • Leadership skill

  • Good in time management

  • Willingness to learn and apply

  • Detailed oriented

  • Good team work

  • Good in Excel and Data Analysis

  • Sound processing knowledge

  • Sound product knowledge

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