Job Purpose

Assess and approving claim applications, according to the given authority, to deliver the claim approval within the service level agreement. The Claims Assessor associate is the first level of intermediate assessor positions. The jobholder is responsible to review and consider each claim request for making approval, examine the possibility of loss, preexisting, exclusion condition, and benefit calculation. In some situation, this position is expected to be able to explain the detail of claim assessment to distributors or customers. Please refer to the Claims Competency Matrix and the table of UI and Claims Approval Authority Limit – Claims Authority for approval.

Key Responsibilities:

• Assess and approves with respect to both new and referred claim cases include special request regarding the given authority
• Facilitate the recommendation to higher authority assessor
• Capture the claim information and benefit payment into the system as required to ensure the accurate payment to the claimant
• Monitors and take action on self pending of claim every 15 days
• Participate into system & process improvement or other assignments from managers to deliver results as expected within the timeline
• Contributes to update the claim assessment guideline
• Update the business continuity plan per assignment
• Make commitment of personal development plan and deliver as promised
• Engage with the company activities and contributes as a good team player to deliver the highest team performance