Job vacancy Senior Customer Assistant - Health Insurance

Our client in the financial sector is currently seeking to recruit a Senior Customer Assistant - Health Insurance who will will handle claims intimation to settlement, including follow-ups, communicate with clients and intermediaries. The successful candidate will also participate towards achievement of set targets.

Responsibilities:

Attend to clients and intermediaries and to provide technical advice regarding Medical claims.
Ensure that all set targets are met within defined timeframes.
Assist in the compilation of data and statistical reports.
To handle claims efficiently from notification to settlement and effect payments as per terms and conditions.
Compile and process claims received within KPI.
Gather all supporting documents and other relevant information for claims settlement.
Verify claims against coverage given and other terms and conditions.
Follow up with internal Department in case of queries.
Follow up on non-valid claims.
Gather information for Incomplete & Non-Valid claims and request for missing information.
Check outstanding premiums prior to settlement of claims.
Provide assistance to Customers/Brokers/Agents on 'Terms & Conditions', medical protocol and remaining balances.
Assist walk in clients for their claims submission for complex cases.
Interact with the Accounts Department for rejected funds for payment made by Direct Credit.
Prepare letters (Chronic/Non-Valid/Repetitive/Incomplete/Long Term/Notice).
Provide assistance to the medical insurance team when required.

Profile:

Either School Certificate or GCE O Level with credit in at least 5 subjects including English Language, French and Mathematics plus HSC/GCE A Level in at least three subjects (3 Main) or equivalent (IB, Baccalaureate).
Or
Part Professional qualifications progressing towards completion (at least Diploma level) of ACII.
Or
At least a Diploma in a related field of competence.
3-year relevant working experience.
Good understanding of common health insurance industry practices, concepts and procedures.
Proficient in Microsoft Office applications (Excel & Word).
Good rapport building and interpersonal skills with strong negotiating and influencing skills.