Claims Specialist / Senior Claims Specialist, Wica

Job Description The commercial claim specialist plays a pivotal role in managing and assessing workman injury claims. This position requires a seasoned professional with extensive expertise in the general insurance domain, particularly in the field of claim assessment. Key Responsibilities Claims assessment : Utilize deep knowledge and experience in the general insurance space to meticulously assess, investigate, and evaluate workman injury compensation claims. Policy adherence: Ensure compliance with company policies, local regulations, and industry standards while handling and processing workman injury claim. Regulatory adherence: Apply strong understanding and experience in assessing claims in strict compliance with regulatory requirements, ensuring alignment with applicable laws and industry standards. Communication and coordination: Collaborate effectively with internal teams such as operation, finance and sales; external stakeholders which include distributors, loss adjustors, investigators, lawyers, medical experts; and claimants to facilitate seamless claim processing and resolution. Documentation and reporting: Maintain accurate records, prepare comprehensive reports, and document all stages of the claims process, ensuring clarity, transparency, and compliance. Negotiation and settlement: Negotiate effectively with stakeholders to reach fair and equitable settlements for workman injury claims, considering all relevant factors and legal precedents. Continuous improvement: Enhance claim handling procedures and contribute to the continuous improvement of claims management protocols by staying updated with industry trends, legal changes, and best practices. Market knowledge: Stay updated with market trends, regulatory trends and in particular, MOM WICA legislative changes. Customer experience: Deliver excellent service to claimants and distributors and ensure that customers have a positive claims experience. Qualifications and skills A minimum of 2 to 3 years of experience in assessing and managing workman injury compensation claims. Recognized diploma in any discipline. Possess CGI certificate. Profound understanding of workman injury compensation processes, Singapore regulations and relevant legal frameworks. Knowledge in medical claims will be preferred. Excellent verbal and written communication skills to interact with diverse stakeholders and convey complex information clearly and concisely. Meticulous attention to detail to ensure accuracy in claim assessment, documentation and reporting. Ability to adapt to changing environment, prioritize tasks efficiently, and handle a variety of tasks effectively. Demonstrated ability to perform effectively in high-pressure environments, managing competing priorities while maintaining accuracy and quality in claims assessment. Good knowledge of MS Office software and any other technology applications.