Claims System Specialist
1 week ago
Responsible for Claims operational support, business process analysis, and other responsibilities/duties periodically assigned by supervisor to meet operational and/or other requirements.
- Manage claims related projects based on business needs and requirements i.e regulatory, improve customer experience, system enhancement related to products or improve efficiency of the team.
- Monitor system related issues and follow through with IT team until resolution.
- Participate in system enhancement, process improvement, and digital projects. Role and Responsibilities including:
- Liaise and coordinate with superior and IT/Stakeholders.
- Participate in project meetings.
- Prepare system/business requirement and business process review.
- Perform User Acceptance Testing (UAT).
- Prepare test scripts.
- Prepare sign off document from stakeholder.
- Prepare implementation sign off document.
- Assist superior to monitor the result.
- Perform all activities achieving reasonable quality, performance, and within the agreed timeline.
- Review and recommend measures to improve the existing process and system.
- Perform data analysis and presentation to support business decision.
- Responsible to perform Quality Check or sampling review as per Quality Assurance Framework. Update the report to management on a monthly basis.
- Establish and update guidelines, working instructions, and standard operating procedures.
- Ensure that timelines and objectives agreed with superior for any other assignments/projects that may be assigned are met or exceeded.
- Assist superior in developing project plans to be shared with all stakeholders (for Claims projects).
- Coordinate and maintain relationships with internal stakeholders and third parties/vendors for the execution of projects.
- Assist superior in resource allocation for the projects i.e delegate tasks to team members.
- Manage changes to the project scope and project schedule, as necessary.
- Monitor and track progress of the projects as well as ensure delivery of the project timely or escalate to management for any roadblock that may affect the timeline.
- Track project performance specifically analyze the successful completion of short and long-term goals.
Education: Degree with relevant experience
Experience: Minimum 5 to 10 years working experience in Insurance Industry
Key Skills/Knowledge:
- Good communication skills – verbal and written
- Analytical skills
- Ability to produce high quality work under pressure and right attitude for work
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