Non-Medical Claims (PA), Analyst

Role Overview

Overall administration and assessment of PA claims processing for all distribution channels and ensure various work processes meet the departmental benchmark within the authority granted.

Roles and Responsibilities

• Administer and assess PA claims across all distribution channels, ensuring processes meet departmental benchmarks and are within the granted authority.
• Ensure timely submission of daily operational and departmental reports.
• Lead process improvement initiatives and enhance customer experience through Customer Journey Mapping.
• Drive compliance efforts to prevent material breaches, based on audit findings, compliance monitoring, and feedback from regulatory bodies.
• Implement sound risk management practices, monitor risk limits, and ensure ongoing compliance with claims procedures through regular team audits and procedural updates.
• Handle enquiries and complaints from internal and exte...