Location: Vietnam - Ho Chi Minh City
Posted: 25/06/2020
Salary: Attractive package
Job Function: Insurance - Claims/Underwriting
Industry: Financial Services
Sub-Industry: Insurance
Reference: JO-200622-220195

Your future employer

Our Client is one of the largest life Insurance companies in the World looking for a talent for Investigate Manager position.

Your key responsibilities

This role is designed to monitor all investigation activities of the Requesting Division in order to operate smoothly daily in providing verification directions.
- Analyze the excellent and effective investigation plan, to help assess complaints quickly and accurately for customers and adhere to company strategies to ensure credibility.

- Be able to provide the response to inquiries and complaints related to claims from claimants, advisors, other departments that are relevant to the investigation.

- Proposing, initiating and managing operations of nationwide Investigate team to ensure Claims team’s activities smoothly executed in accordance with the Company principle and guidelines; monitoring quality and productivity of investigator staff to ensure fast and accurate assessment as Claims guidelines and cost efficiency

- Reviews internal manuals and may develop recommendations on management strategies. Develops, documents and executes claims management plans by identifying trends in cases.

- Appraises and approves benefit claims within prescribed approval limits

- Well managed and well planned for the travel costs of the investigations of the whole team

- Control and manage the Investigate Team for doing investigate in the claim cases need investigation. Always finding the most effective verification methods but must follow the law.

- Create strategies and methodologies for identification of fraud indicators.

- Manages litigated claims and appeals, instructs counsel on disposition. Acts as a technical resource and coaches investigators on complex claims decisions.

- Guide and train a team investigators of composed of many members

- Skilled and proactive working across functions such as Compliance, Legal, Complaint handling, Medical team, Underwriting, outsides:

- Co-operate with Legal department for seeking advice for complex cases that could lead to litigation. Co- operate with Compliance department for the fraud cases or suspected cases. Co-operate with Complaint handling department to handle complaints and respond enquiries that related to claims from clients, advisor, other departments. Co-operate Medical team for the case has medical aspects during investigation.

- Help feedback to Underwriting and Sales teams on patterns of claim frauds and investigation results, and help improve the field underwriting and NB Underwriting processes

- Build relationships across industries and industry bodies, to help in the investigation process

- Continuous improvisation of processes to shorten TAT, and improve claim experience
- Think of ways to bring technology (Speedy rules, Data Analytics and AI) to help detect frauds.

Our key requirements

- University graduated.
- Knowledge of law, medical, insurance and police.
- Relevant Working Experience: At least 8 years of experience in Investigate Claims field
- Have good knowledge of life insurance and well skills