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Claims System Specialist


Job Summary


  • Responsible for Claims operational support, business process analysis and other responsibilities / duties periodically assigned by supervisor to meet operational and/or other requirements.
  • Manage claims related projects based on business needs and requirements i.e regulatory, improve customer experience, system enhancement related to products or improve efficiency of the team.
  • Monitor system related issues and follow through with IT team until resolution.

Job Functions


  • Participate in system enhancement, process improvement and digital projects. Role and Responsibilities including:

a)Liaise and coordinate with superior and IT /Stakeholders.

b)Participate in project meeting.

c)Prepare system/business requirement and business process review.

d)Perform User Acceptance Testing (UAT)

e)Prepare test script.

f)Prepare sign off document from stakeholder.

g)Prepare implementation sign off document.

h)Assist superior to monitor the result.

i)Perform all activities achieved the reasonable quality, performance and within the agreed timeline given.

j)Review and recommend measure to improve the existing process and system.

  • Perform data analysis and presentation to support business decision.
  • Responsible to perform Quality Check or sampling review as per Quality Assurance Framework. Update the report to management on monthly basis.
  • Establish and update guidelines, working instructions and standard operating procedures.
  • Ensure that timeline and objectives as agreed with superior for any other assignments / projects that may be assigned are met or exceeded.
  • Assist superior in developing project plan to be shared with all stakeholders (for Claims projects).
  • Coordinate and maintain relationship with internal stakeholders and third parties/ vendors for the execution of projects.
  • Assist superior in resources allocation for the projects i.e delegate tasks to team members.
  • Manage changes to the project scope and project schedule, as necessary.
  • Monitor and track progress of the projects as well as ensure delivery of the project timely or escalate to management for any roadblock that may affect the timeline.
  • Track project performance specifically analyze the successful completion of short and long-term goals.


Job Qualifications

Education : Degree with relevant experience

Experience:   Minimum 5 to 10 years working experience in Insurance Industry


Key Skills/ Knowledge:

  • Good communication skill –verbal and written
  • Analytical skill
  • Ability to produce high quality work under pressure and right attitude for work
  • Good problem solving skill
  • Leadership skill
  • Good in time management
  • Willingness to learn and apply
  • Detailed oriented
  • Good team work
  • Good in Excel and Data Analysis
  • Sound processing knowledge
  • Sound product knowledge


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