Job Title : Investigator Claim Associate :
Department : Claims
Roles and Responsibilities:
Conduct Field Investigations, including:
- Collecting relevant information, data, and supporting evidence related to claim cases.
- Conducting interviews with witnesses and related parties to obtain clarification and deeper insights.
- Verifying claim documents to ensure validity, accuracy, and compliance with applicable procedures.
- Gathering and maintaining proper documentation related to the claim investigation.
- Preparing and presenting comprehensive, structured, and accountable investigation reports.
Monitor and Review On-Desk Investigation Activities, including:
- Supervising administrative or desk-based investigation processes.
- Ensuring the accuracy and appropriateness of investigation targets, including validation of medical institutions or other related parties.
- Evaluating data completeness, analytical accuracy, and procedural compliance throughout the investigation process.
Additional Skills :
- Highly proficient in Microsoft Office (Excel, Word, PowerPoint) for data analysis, reporting, and presentation purposes.
- Demonstrate strong communication, negotiation, and analytical capabilities in managing and resolving claim investigation cases effectively and efficiently.
Behavioral competencies required:
- Trustworthy
- Accountability
- Service oriented to clients & cross function Department
- Teamwork
Education : Bachelor Degree
