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:

1. Liaise and coordinate with superior and IT /Stakeholders.
2. Participate in project meetings.
3. Prepare system/business requirement and business process review.
4. Perform User Acceptance Testing (UAT).
5. Prepare test scripts.
6. Prepare sign-off documents from stakeholders.
7. Prepare implementation sign-off documents.
8. Assist superior to monitor the results.
9. Perform all activities to achieve reasonable quality, performance and within the agreed timeline.
10. Review and recommend measures to improve the existing process and system.

• Perform data analysis and presentation to support business decisions.
• Responsible for performing 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 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 timely delivery of the project 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 right attitude for work
• Good problem-solving skills
• Leadership skills
• Good time management
• Willingness to learn and apply
• Detail-oriented
• Good teamwork
• Good in Excel and Data Analysis
• Sound processing knowledge
• Sound product knowledge