Working as a Senior Officer, Claims Operations (Grade 3) at EFU Life Assurance with extensive experience in processing and underwriting both conventional and Takaful death claims. Skilled in assessing and validating claims, ensuring compliance with regulatory standards, and providing exceptional service to policyholders. Adept at collaborating with various stakeholders to facilitate efficient claims resolution and maintaining high standards of accuracy and integrity in claims processing.
Claims Processing and Underwriting Process and underwrite death claims for both conventional and Takaful insurance, ensuring all claims are handled accurately and efficiently.
Compliance and Risk Management Ensure all claims comply with internal policies, regulatory requirements, and Shariah principles for Takaful claims.
Case Assessment Evaluate claim documentation, conduct thorough investigations, and assess the validity of claims.
Customer Service Provide clear and compassionate communication to beneficiaries and policyholders regarding claim decisions and procedures.
Documentation and Reporting Maintain detailed records of claims, prepare reports, and ensure all documentation is complete and accurate.
Collaboration Work closely with other departments, including underwriting, legal, and finance, to facilitate smooth claims processing
Continuous Improvement Participate in training and development programs to stay updated on industry trends and best practices in claims management.
Experienced and driven call center agent with proven track record of helping to lead company to further success with effective marketing and superb customer service skills.
Responsibilities
Answer incoming calls and respond to customer inquiries in a courteous and timely manner.
Make outbound calls to follow up on customer issues, resolve complaints, or gather information.
Identify and assess customers needs, providing accurate information and solutions.
Oversee and facilitate the Call Back Confirmation (CBC) on individuals involved in the kafalah process.
Collaborate with relevant parties to streamline and improve the overall kafalah procedure.
Uphold a meticulous approach to documentation, ensuring compliance with established standards and regulations.
Handle customer complaints, provide appropriate solutions, and escalate issues when necessary.
Maintain a high level of professionalism and empathy in all customer interactions.
Input and update customer information in the database during and after each call.
Collaborate with team members and other departments to ensure customer satisfaction.