Claim Officer - Medical Doctor

PURPOSE:• Building claims guidelines and procedures for health claims to enhance expertise for prompt and accurate assessment and excellent services.• Ensuring claim assessments are accurate and in strict compliance with the terms and conditions of the contract, while also considering equitable and reasonable factors within the permitted limits to satisfy the customer.• Creating effective training programs of...

3. REQUIREMENTSEducation and Experience• Medical doctor or equivalent, preferably in the insurance field.• Experience in life insurance underwriting is preferable.Technical skills• Strong knowledge of claim operations & processes• Emotional intelligence• Analytical thinking• Identifying and problem-solving• Negotiation for results.Soft skills• Proficiency in Microsoft Office (Work, Excel...)• Teamwork• Effective time management• CollaborativePersonal attributes• Careful• Proactive• Enthusiastic• Integrity4. CHALLENGES• Ensure that all claims are handled promptly and effectively with agreed service standards...