**
Western World Insurance Company is seeking a Complex Claims Examiner for their Accident & Health division in Singapore. The role involves managing complex claims, ensuring effective vendor and litigation management, and maintaining high standards of technical claims competence while providing excellent customer service.
**
Job Summary
Manage key claims handling enquiries including coverage determination, quantum analysis and legal liability assessment within authority limits.
Ensure effective vendor and litigation management on Complex claims within a personal allocation and strive for continuous improvement on claim file handling.
Demonstrate a high standard of technical claims competence and manage Third Party Administrators to ensure adherence to claims handling guidelines.
Matching Summary
Match Score: 75
**
Western World Insurance Company is seeking a Complex Claims Examiner for their Accident & Health division in Singapore. The role involves managing complex claims, ensuring effective vendor and litigation management, and maintaining high standards of technical claims competence while providing excellent customer service.
**
Skills & Requirements
Must-have
A&H claims handling
coverage determination
quantum analysis
legal liability assessment
vendor and litigation management
Nice-to-have
continuous improvement
stakeholder communication
customer service excellence
Key Requirements
Proven experience in adjudicating A&H claims
Fronting mediation in FIDREC/Singapore Mediation Centre
Holds BCP, PGI and HI
Intermediate specialist knowledge in A&H technical claims topics
Policy language skills
Basic knowledge of legal / regulatory and litigation / procedural requirements