d) Correspond with customers via email on claim matters such as the status or progress of the claim as well as any other queries. Job holder must consult HOU, HOD and/or the Department’s Legal Advisor before responding to the customer, depending on the complexity of the case.
e) Attend to walk-in customers and/or communication via phone calls regarding claim matters.
f) Share knowledge or feedback on process improvement with team members and relevant staff in the Company to enhance their skills and competencies which can ensure error-free and timely task execution.
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The Admin is responsible for managing and processing claims for panel clinics or other healthcare providers. Familiar with clinical work or used to be Clinic Assistant before is a plus. This role involves ensuring that all claims are processed in accordance with the company's policies and within regulatory guidelines, while providing excellent customer service to clients and healthcare providers.
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Communicate effectively, both verbally and in writing, with relevant stakeholders, including Underwriters and clients, to gather necessary information for policy administration and servicing.
Organize and maintain electronic databases, including performing data input and ongoing maintenance tasks.
Investigate and rectify any rework issues to ensure process accuracy and efficiency.
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Assist in monitoring project performance through reporting, dashboards, KPI tracking, risk/issue management, and contribute to process standardization and continuous improvement initiatives.
Support Risk & Compliance activities including Risk & Control Self-Assessments (RCSA), risk mitigation tracking, issue management, and maintenance of risk registers, action logs, and compliance trackers to ensure accuracy and completeness.
Assist in preparing risk dashboards, reports, and presentations, while coordinating meetings, performing basic data validation, and providing documentation and administrative support.
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