Alexander - Insurance Claims Handler

Demonstrated experience with Effective communication.

Demonstrated experience with Active listening.

Demonstrated experience with Problem-solving.

Demonstrated experience with Critical thinking.

Demonstrated experience with Empathy.

Serve as the primary point of contact for our customers and stakeholders who has had a medical emergency need whilst abroad by handling all incoming and outgoing calls with empathy, professionalism, and efficiency.. Deliver timely and accurate support by offering proactive solutions aligned with medical service standards and client expectations.. Coordinate medical assistance tasks to ensure customers receive appropriate care and services promptly and cost-effectively.. Continuously monitor case progress, ensuring that all services are delivered as scheduled while keeping patients and medical partners fully informed throughout the process.. Prioritize and complete all administrative and support tasks (Middle Office) using a proactive and patient-centered approach to ensure the best possible outcomes.. Promptly report any service delays, escalations, or potential issues to the relevant Supervisor or Manager to maintain service quality and patient safety.

Respond to customer inquiries and assist various channels such as phone, email, etc.. Address customer concerns, complaints, and queries in a professional and timely manner.. Ensure high-quality customer interactions, always maintaining a courteous and empathetic demeanor.. Identify customer needs and concerns, offering appropriate solutions and resolutions.. Escalate complex issues to senior team members or supervisors as necessary, ensuring prompt resolution.. Develop a comprehensive understanding of company products, services, and policies.. Provide accurate and up-to-date information to customers regarding product features, pricing, promotions, and terms of service.. Document customer interactions, inquiries, and resolutions accurately in the designated systems or databases.. Maintain high standards of service quality and professionalism, ensuring adherence to established service level agreements (SLAs).. Collaborate effectively with team members, supervisors, and other departments to resolve customer issues and improve service delivery.

Responsible for the preparation and timely submission of claims weekly and monthly reports for the clients and the unit.. Pursues claim settlement cheques from Underwriters and ensures that clients’ claims are promptly settled.. Overseas clients’ correspondences and information before these are transferred to the co-insurers.. Manages relationships with the client and co-insurers.. Collect and analyze data on all claims.. Notifies the Underwriters of reported claims and assists client in claims documentation when required.. Review all settlement offers communicated by the Insurer to ensure that the client is fairly compensated.

End-to-end claims processing involving interpreting of policy documents and claim administration.. Review of loss adjuster’s report, appointing of Loss Adjusters and Motor Engineers to facilitate claims settlement.. Improved the loss ratio by effectively disposing of salvage, coordinated the disposal of salvage buyers from bidding to the final disposal.. Increased salvage value by 25%.. Improving loss ratio by ensuring adequate claim amount reserving, reviewing, and providing outstanding claim data on a monthly basis so that the organization can make an informed decision.