Claims Officer

Besst Group

Role Overview

The Claims Officer (Life and Medical Insurance) serves as a key liaison between clients and insurance providers, ensuring a smooth and efficient experience for employees regarding their life and medical insurance coverage. The role involves handling inquiries, resolving claims, and addressing gaps in employee benefit programs, including expatriate coverage. This position is critical to maintaining client satisfaction and ensuring seamless service delivery in the Employee Benefit department.

Key Responsibilities

1. Client Support
• Act as the primary point of contact for clients regarding life and medical insurance benefits.
• Respond to inquiries, provide guidance on policy details, and address client concerns promptly.
2. Claims Assistance
• Assist clients in processing life and medical insurance claims, ensuring timely and accurate resolution.
• Liaise with insurance providers to resolve claims-related issues and follow up on pending cases.
3. Coordination with Insurance Providers
• Serve as a communication bridge between clients and insurance companies.
• Ensure that all client requests and issues are conveyed clearly and resolved effectively by insurers.
4. Expatriate Coverage Management
• Provide assistance for expatriate employees life and medical insurance needs.
• Ensure smooth coordination of coverage and compliance for international employees.
5. Documentation and Reporting
• Maintain accurate and up-to-date records of claims, inquiries, and policy details.
• Generate periodic reports on claims and client interactions for internal use.
6. Gap Identification and Resolution
• Identify gaps in coverage or service and recommend solutions to address these areas.
• Collaborate with team members to enhance benefit offerings and improve client satisfaction.