Claims Management
(การจัดการเคลม)
Definition
Claims Management (การจัดการเคลม) Hard Skill
The process of handling, evaluating, and settling insurance or warranty claims efficiently and accurately.
Expertise Level
Level 1
Basic
1. Understands the basic types and terminology of claims.
2. Can process straightforward claims following standard procedures.
3. Able to gather and document necessary claim information.
Level 2
Intermediate
1. Can evaluate claims to identify discrepancies or issues.
2. Communicates effectively with claimants and other stakeholders.
3. Applies relevant policies and regulations to assess claim validity.
Level 3
Advanced
1. Manages complex and high-value claims with multiple stakeholders.
2. Designs and implements claims management strategies to improve efficiency.
3. Leads investigations to uncover fraud or misuse in claims.
