Claim Manager for Asuransi Kitabisa

    Kitabisa

    • Lead the claims resolution strategy and oversee all aspects of the claims process, including assessment, handling, adjustment, settlement, investigations, litigation, and recovery.
    • Lead transformation in claim management’s operational area that focuses on strong governance, streamlined process, cost-effectiveness and user-oriented digital solutions to improve customer experience in the claim process.
    • Analyse claims trends and industry data to ensure high-impact operating results and fair outcomes for customers
    • Build, expand and maintain good relationships with TPA and Providers (Private and Government Own) and periodically evaluate the business agreement with providers to improve cost control, maximize service delivery to customers, and provide best-in-class Claim services to Customers.
    • Carries out the assessment and settlement of life, accident, disability, and health insurance claims arising from policies in force and makes policy recommendations for claims handling and guidelines for claims processes.
    • Liaises with solicitors and other third parties to seek guidance on the course of action of best interest to the company during claims investigation and cases.
    • Manage and monitor the claim investigation process on claim cases by examining claims data and facts to ensure the resolution of Claim investigation and Claim cases.
    • Build a knowledgeable team and oversee their learning and development to ensure effective succession planning and communication of key imperatives.
    • Act as medical advisor for the internal company.
    • Provides leadership by giving direction, coaching and/or mentoring, and performance monitoring to the team

    Minimum Qualifications

    • Claim management experience with insurance companies, TPAs, or brokers for Life, Personal Accident (PA), and Health policies.
    • Possesses the ability to work in a team and provide clear guidance to team members.
    • Demonstrates strong analytical and problem-solving skills.
    • Proficient in analytical thinking related to claim matters.
    • Excellent communication skills, both verbal and written.
    • Basic proficiency in English language skills.

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