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Senior Claims Officer

Role purpose
To support Claims team by responsibility of perform claim process, analyze claims to make decision rightly and fairly to ensure appropriate with policy wordings.

Key Accountabilities
  • Strong understanding of company's products/ services, especially in claims administrative procedures
  • Review claim cases to determine validity and verification of coverage
  • Perform claims administration correctly and timely
  • Analyze, make decision and authorize the payment of benefits to the appropriate person within authority level
  • Make request for claimant and investigation effectively within authority level
  • Conducting User Acceptance Testing (UAT), prepare test scripts and follow up with IT for error reported; co-ordinate with IT department in system applications related Claims issues to improve Claims processes.
  • Update claims case daily to prepare necessary claim report for management level to observe claims trend
  • Provide the immediate response to inquiries and complaints related to claims from claimants, CS or Sales force
  • Other duties as assigned by line manager.
 
Qualification & Experience Requirements
Education: Bachelor degree. University Degree, Medical back-ground or Legal is priority.
Other required Degree, Professional Qualifications and Certifications:
Life insurance certificates: LOMA, ALU, CII
Technical/ Professional/ Specific Competency Requirements:
  • High level of integrity
  • Good communication skills
  • Good negotiation skills
  • Able to work under tight deadline and pressure
Relevant Working Experience
  • Minimum of two (2) years in insurance industry as the same position
  • Experience in medical center will be advantage
  • Two (2) years’ experience in private or law enforcement sector with experience in the use of effective investigative techniques.
Required Languages
Fluent Vietnamese. Good communication skills in Vietnamese and English in speaking and writing.
Information technology/ Technical tools
  • Knowledge of contract/ life insurance
  • Good knowledge of MS Office and computer skills.
Personality Requirements  
  • Discipline, honest, careful, calm
  • High responsibility, high commitment, team spirit
  • Self-motivated

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Please send your application to the following address:
Ms. Ngân Hằng
Tel: 024.39344939   Ext: 289
Email: hang.vungan@prevoir.com.vn
PREVOIR VIETNAM LIFE INSURANCE CO, LTD
Office address: 9th Floor, Sun Red River Building, 23 Phan Chu Trinh, Hanoi
HCM Branch office: 18th Floor, Green Power Building, 35 Ton Duc Thang Street, District 1, HCM.