Job Description:

·       Review, evaluate, assess, negotiate, and resolve work injury compensation claims in WICA 2019 regime within designated authority limit, in line with established standards, procedures and guidelines provided.

·       Identify and investigate suspicious/potential fraudulent WICA claims and take appropriate actions and keep relevant stakeholders closely informed in writing.

·       To attend MOM and any work injury related meeting.

·       To negotiate settlement with claimants and/or solicitors.

·       To provide administrative support to prepare monthly statistics and report.

·       To manage telephone enquiries and complaints and attend to walk-in-claimants.

·       To provide claims handling service to clients and business partners.

·       To be the liaison with any authority as required under the scope.

·       Ensure compliance with all legal, regulatory and policy requirements internally and externally

·       Any other jobs assigned by the Company/HOD/Section Manager.

Requirement:

·       Well versed with WICA 2019 requirement and timeline

·       Minimum Diploma holder.

·       Candidate with a minimum of at least 5 years of direct WICA 2019 claims experience with a designated insurer would be preferred.

·       The candidate should possess strong negotiation skill, claim management, fraud management, customer service, time management and able to work in a fast-paced work environment.

·       Must be able to work independently and as a team.

·       Good negotiation skills.

·       Certificate in Personal General Insurance and Commercial General insurance is a must.

·       Good command of written and verbal English and Chinese (to be able to communicate effectively with English and Chinese speaking associates regarding assigned tasks)