Claims System Specialist

Job Summary

• 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.

Job Functions

• Participate in system enhancement, process improvement and digital projects. Role and Responsibilities including:
• Liaise and coordinate with superior and IT /Stakeholders.
• Participate in project meeting.
• Prepare system/business requirement and business process review.
• Perform User Acceptance Testing (UAT)
• Prepare test script.
• Prepare sign off document from stakeholder.
• Prepare implementation sign off document.
• Assist superior to monitor the result.
• Perform all activities achieved the reasonable quality, performance and within the agreed timeline given.
• Review and recommend measure 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 monthly basis.
• Establish and update guidelines, working instructions and standard operating procedures.
• Ensure that timeline and objectives as agreed with superior for any other assignments / projects that may be assigned are met or exceeded.
• Assist superior in developing project plan to be shared with all stakeholders (for Claims projects).
• Coordinate and maintain relationship with internal stakeholders and third parties/ vendors for the execution of projects.
• Assist superior in resources 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.

Job Qualifications Education : Degree with relevant experience

Experience: Minimum 5 to 10 years working experience in Insurance Industry

Key Skills/ Knowledge:

• Good communication skill –verbal and written
• Analytical skill
• Ability to produce high quality work under pressure and right attitude for work
• Good problem solving skill
• Leadership skill
• Good in time management
• Willingness to learn and apply
• Detailed oriented
• Good team work
• Good in Excel and Data Analysis
• Sound processing knowledge
• Sound product knowledge