Officer, Medical Claims

About us bolttech is a fast-growing global insurtech with a mission to build the world’s leading, technology-enabled ecosystem for protection and insurance. Our vision is to connect people with more ways to protect the things they value.Launched in 2020 in Singapore, bolttech’s 1,600+ team serve customers in 35+ markets across Asia, Europe, North America, and Africa. With international licenses, an extensive partner network, and leading-edge technology and product innovation capabilities, our ecosystem brings together insurers and distributors to make it easier for customers to get the right protection at the point of need.In this position you will……be managing and handling claims for individual medical and other related products. You will work and build the claims value proposition for the company, and streamline workflow and process design to strive operation excellence.You will be responsible for…Process and assess medical claims (inpatient and outpatient) accurately and efficiently in accordance with established service standards, operating procedures, policy terms, and regulatory requirements.Review claim documents, evaluate coverage, determine claim liabilities, and recommend claim settlements within delegated authority limits.Ensure claims are handled in a timely manner and maintain high standards of accuracy, quality, and customer service.Establish and maintain adequate claim reserves and ensure compliance with delegated authority and governance requirements.Identify and escalate unusual, complex, or potentially fraudulent claims to the appropriate stakeholders.Monitor claim trends and provide insights on claim experience, operational issues, and emerging risks affecting business performance.Support the preparation of management reports and contribute to initiatives that enhance operational efficiency, service quality, and customer experience.Collaborate with regional claims teams and other business functions to ensure consistent claim handling practices and achievement of service level objectives.For you to be successful……we expect you to be able to demonstrate the following key competencies:Customer FocusDemonstrates a customer centric mindset by prioritizing customer needs and addressing concerns with a sense of urgency.Aware of the benefits of offering different service solutions to a diversity of customers and helps support adoption.CuriousEngages in learning activities and is interested in understanding different ways of doing things including the key activities performed by others in team.Understands the value of knowledge sharing and seeks learning in areas beyond own area of focus.Keeps up to date on relevant frameworks, applications, software, and/or tools.CollaborativeOffers support and contributes to the delivery of shared goals. Displays loyalty and trust to team.Co-operates with team members to resolve problems and achieve goalsCommunicationCommunicates clearly and actively listens to others.Provides others with information they need in a timely manner.Receptive to feedback and appropriately expresses own opinions.AdaptableAdapts to changes quickly, flexibly and easily.Handles unexpected requirements and ambiguity in a receptive and calm manner.Comfortable using different approaches to problem solving.You will require the following qualifications and skillsDegree holder in Insurance/Business Administration or related disciplinesAt least 3 years’ experience in General Insurance with hands-on experience on supervision and management in medical claimsPossessing or in progress of professional insurance qualification such as ACII or ANZIIF is preferredMature, independent, customer-centric, self-motivated, willing to take up new challenges with strong problem-solving skills and leadership skillsStrong analytical, communication and customer service skillsExcellent command of written and spoken English and ChineseDiversity and InclusionAt bolttech, we are diverse and inclusive. We value each person's unique skills, background, and identity. We never discriminate on cultural background, religion, sex, gender, gender identity or expression, sexual orientation, age, disability, veteran status, genetic information, marital or family status or any legally protected status. Everyone belongs. And because everyone’s different, we’re also flexible in the ways we work, so each person can bring their best efforts every day.