Claims System Specialist

Claims System Specialist

Job ID: 107517

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:
• a) Liaise and coordinate with superior and IT/Stakeholders.
• b) Participate in project meeting.
• c) Prepare system/business requirement and business process review.
• d) Perform User Acceptance Testing (UAT).
• e) Prepare test script.
• f) Prepare sign off document from stakeholder.
• g) Prepare implementation sign off document.
• h) Assist superior to monitor the result.
• i) Perform all activities to achieve reasonable quality, performance and within the agreed timeline.
• j) 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 as agreed with superior for any other assignments/projects 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 the progress of the projects and ensure timely delivery or escalate to management for any roadblocks 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 the Insurance Industry

Key Skills/Knowledge:

• Good communication skills – verbal and written
• Analytical skills
• Ability to produce high quality work under pressure and the right attitude for work