Overview
Claims Specialist Jobs in Batam, Riau Islands, Indonesia at Glints
Title: Claims Specialist
Company: Glints
Location: Batam, Riau Islands, Indonesia
Company Overview: A health insurance business that serves approximately 34 million customers across 10 markets.
Working Location: WFO, Batam.
QUALIFICATIONS / EXPERIENCE
- Degree in any discipline (insurance qualification is advantageous).
- 1 to 3 years of experience in travel or personal lines insurance claims; fresh graduates can be considered.
- Basic understanding of insurance concepts and claims processes is preferred.
- Proficient in MS office application and comfortable using digital claims systems.
- Good analytical and attention to details and accuracy.
- Customer-focused mindset with good communication skills (written & spoken English).
- Time management: able to adapt to a fast-paced environment and ability to manage and prioritize workload.
- Team player with a positive attitude and willingness to learn.
KEY ACCOUNTABILITIES
Claims Assessment & Processing
- Review and assess travel claims within assigned authority limits and in accordance with policy terms and service turnaround time.
- Verify claim documentation and ensure completeness and accuracy.
- Conduct regular claim file review.
- Review and update adequate claims reserves timely.
- Identify potential claims irregularities or inconsistencies and escalate where required.
- Prepare clear claim assessment notes and recommendations for senior assessors or managers.
Customer Service & Communication
- Communicate with customer professionally to request missing information, clarify claims details, provide claim updates and explain claim outcome.
- Provide claim advice and address claims inquiries within the service turnaround time and uphold the company’s customer-oriented service culture.
Compliance & Risk Management
- Ensure claims are managed in compliance with regulatory requirements and internal policies.
- Maintain proper documentation and filing of claim records in the system.
- Support fraud detection activities by flagging suspicious claims.
Team Collaboration
- Work closely with senior assessors and/or manager for guidance on handling complex claims cases.
- Prompt handling of the tasks rendered when assigned any other ad-hoc project/task.
