Overview

• Salary

  70,000 THB ~ 100,000 THB

• Industry

  Insurance

• Job Description

  The head of underwriting and claim is responsible for overseeing and managing the claim and underwriting department. For the claim department this includes, setting up an appropriate system and procedure for effective and efficient claim handling to meet both the reinsurance/insurances guidelines and internal/external KPIs. For the underwriting department this includes, managing and balancing between risky and cautious decisions, including being responsible for underwriting and risk management. For the network department, this means establishing a team to deal with all daily communication with providers and develop the network on-going. As head of network there will also be a close collaboration with the CMO, the CFO and the CEO regarding the network strategy.
  
  KEY RESPONSIBITIES ;
  • Train and manage staff to efficiently handle claims using the guidelines set by our insurers and reinsurers.
  • Oversee and manage the Claims Department procedure for effective and efficient result on Medical claims
  processing and Claim administrative task.
  • Implement best practices to meet industry claim standards.
  • Ensure appropriate procedures are in place to meet the company KPI’s as a concerning claim.
  • Oversee and manage any disputed cases to resolve the issues in a professional manner.
  • Monitor claims and staffs to meet internal and external timelines and KPI’s.
  • Manage major claims including keeping Insurers advised of any major claims which will surpass there notification
  squidlings as set out in the claims protocols and procedures.
  • Develop an understanding of product in different countries and adopting a systematic approach to claims handling
  to ensure effective and appropriate procedure to meet international claims management standard.
  • Manage Claim staffs at satellite office to make sure they are meeting guidelines set in our claims protocols and
  rocedures manual as well as meeting the company internal KPI’s.
  • Carrying out effective root cause analysis of reported incidents and claims in an effort to prevent recurrences and
  reduce the frequency and severity of future incidents.
  • Coach, counsel and perform regular individual and team meetings and complete annual evaluations to meet and
  xceed quality, customer service, and productivity standard as well as KPI’s.
  • Conduct quality improvement through analysis of claims and preventative measures for fraudulent claim.
  • Analyse and implement cost containment measures.
  • Analyse and recommend budget under own scope of responsibilities and get periodical update status from
  immediate subordinate(s) for review with CEO.
  • Perform other duties as assigned by CEO.