Microsoft Office (Excel, Word and Powerpoint)
Chua Zhen Li (Jasper)
Claim Executive
Upper Aljunied Lane
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering total of 8 years of medical, life and motor insurance experience.
Overview
7
7
years of professional experience
3
3
years of post-secondary education
4
4
Languages
Work History
Group Claims Analyst
Singapore Life Ltd (Singlife)
10.2022 - Current
- Computing the amount of benefit payable and ensuring claim requests are attended to within the agreed turnaround time.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Complying with regulatory and risk management controls, corporate policies, procedure and claims guidelines.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managing external parties as part of claims process such as broker, medical providers and clients.
- Supporting any day-to-day administrative tasks as required.
Admin Coordinator
Value Plus Engineering Pte Ltd
11.2021 - 09.2022
- To assist in liaison with sub-contractors, suppliers and vendors.
- Responsible in planning maintenance schedule and monitor the schedule to ensure that works are completed within stipulated schedules with skill, efficiency and quality
- Prepare quotation and costing for minor works, custom works and maintenance.
- Assist in building Permit-To-Work submission & worker security clearance for all the maintenance works and minor works.
- General administrative work such as typing, filling and etc.
Case Handler
LKK Auto Consultants
02.2020 - 10.2021
- To carry out activities as per customer’s instructions.
- Managed over 60 assigned cases every month.
- Interviewed policyholders to verify information and obtain additional details.
- Perform negotiation between insurance examiners and motor repairer.
- Proposed settlements for uncomplicated issues to resolve claims
- Follow and perform well instructions of superior accordingly.
- Maintained strict confidentiality with all personal data as per company guidelines
- Worked productively in fast-moving work environment to process large volumes of claims
Claims Associate
AIA Shared Services Sdn.Bhd
12.2017 - 08.2019
- Processing accident and medical related claims.
- Managed over average of 50 assigned accident claim cases and 10 assigned medical claim cases every day.
- Analyzing claims and insured information from performing data entry, handling insurance claims reimbursements, and deciding whether claim should be processed or denied..
- Process all clean case within agreed Turn Around Time(TAT) which is 4 days..
- Flexibility and improve technical skills in claims assessment and closely follow up cases assigned, provides next day’s updates.
- Response to emails within same business day with action taken
- Checked level and type of coverage and evaluated contracts
- Evaluated accuracy and quality of data entered into agency management system
Education
High School Diploma -
Taylor College
Selangor, Malaysia 05.2013 - 12.2013
Bachelor of Business - Banking And Finance
Sunway University
Selangor, Malaysia 02.2014 - 07.2015
Bachelor of Business - Finance
Queensland University of Technology
Brisbane, Australia 07.2015 - 12.2016
Skills
- Fluent in Chinese and English
Fast learner and multitasking
Policy data analysis
Coverage assessments
Insurance industry experience
Great mathematical skills
Understanding of medical terms
Excellent administrative abilities
Software
Merimen and Vendor Engage
Citrix and IWS
Kofax SPA, Elixir and Filenet
Timeline
Group Claims Analyst
Singapore Life Ltd (Singlife)
10.2022 - Current
Admin Coordinator
Value Plus Engineering Pte Ltd
11.2021 - 09.2022
Case Handler
LKK Auto Consultants
02.2020 - 10.2021
Claims Associate
AIA Shared Services Sdn.Bhd
12.2017 - 08.2019
Bachelor of Business - Finance
Queensland University of Technology
07.2015 - 12.2016
Bachelor of Business - Banking And Finance
Sunway University
02.2014 - 07.2015
High School Diploma -
Taylor College
05.2013 - 12.2013
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