Operation Officer (South)

I. Job Description

Role Purpose:

Support NBU to push up NBU process in South and handle claim cases in South within authority;

Key Accountabilities:

  • Support NB & UW in South area: 
    • Support NB to verify new applications before sending to HN
    • Issue policies in BAMS within authority
    • Follow up pending cases 
    • Perform adjustment transactions in BAMS for change requests within free-look period
    • Support UW to underwrite new cases within authority and to work with medical networks in South to improve UW service
    • Support training department to train OP guidelines to FC in South
    • Contribute to enhance services/processes to better service customers 
  • Handle claims within authority:
    • Support Claim team to process claim cases in South in compliance with claim procedures
    • Perform on site investigation when required
    • Follow-up claim cases, make claim reports & analysis
    • Build up relationship with hospitals, doctors to improve claim process 
  • Other tasks as assigned by Line Manager/Manager from time to time.

II. Job Requirement

  • Customer service mind, flexible, target-driven, proactive approach
  • Good time management skill
  • Good analytical skill and judgement
  • Excellent ability to work independently and in team, under pressure and within short deadline
  • Self-driven, results-oriented with a positive outlook and clear focus on high quality and business profit
  • Excellence communication/ presentation and interpersonal skills
  • Bachelor degree, preferable in Medical, Law or Economic
  • LOMA, UW386 are advantage
  • At least 3 years of experience in NBU or Claim in life insurance company
  • Good English