Medical Claims Officer to Assistant Manager

Key requirements:Assess claims according to delegated claims authority in accordance with the established procedures and guidelinesSupport the implementation of claims management strategies and objectivesReach benchmark of claims processing volume and turnaround timeAssist in handling enquires or complaints from internal and external customersIdentify and...

FIND YOUR 'BETTER' AT Blue Cross If you believe in better, we’d love to hear from you. About the Role Assess and process medical claims according to delegated claims authority in accordance with the established procedures and guidelines Duties / Accountabilities: Assess and process claims according to delegated claims authority in accordance...

Job Summary Maintain the smooth daily operation of claims section Monitor the claims operational flow in terms of claims turnaround time, hotline service and quality of outgoing claims correspondence Claims assessment in compliance with authority levels Support the claims function in prompt and accurate settlement of claims and negotiation with different...

Key responsibilities:Perform pre-authorization and pre-assessment procedures in accordance with established policies and guidelines.Handle clinical operation and day case claims within the authorized claims authority, adhering to established procedures and guidelinesHandle enquiries and complaints from both external and internal parties.Determine and examine...

Job Description : Assist Claims Manager to manage the daily claims operation and ensure claims are processed in accordance with the service standards, operation procedures and guidelines. Perform claims adjudication, processing, checking and approval according to claims authority . Handle enquiries and complaint from internal and external...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

Job ResponsibilitiesHandle pre-approval of commercial assessmentHandle claims process, including both inpatient and outpatient medical claimCommunicate with customer on pre-approval decisionImprove the effectiveness of the claim adjudication and administration processes, with network service providers when necessaryHandle provider claim enquiries from panel...

Key responsibilities:Perform pre-authorization and pre-assessment procedures in accordance with established policies and guidelines.Handle clinical operation and day case claims within the authorized claims authority, adhering to established procedures and guidelinesHandle enquiries and complaints from both external and internal parties.Determine and examine...

Job Summary Large and complex claims handling and managerial support Job Accountabilities Responsible for the large and complex liability and property claims Actively involve in organizing of customer meeting presentation and the preparation of Powerpoint slides Provide technical support to the team including work simplification and automation...

FIND YOUR 'BETTER' AT Blue Cross If you believe in better, we’d love to hear from you. About the Role Handle and approve medical claims based on delegated claims authority in accordance with the established procedures and guidelines; Duties / Accountabilities: Handle provider claims according to internal guidelines Handle enquires from...

Description The Opportunity The customer is the focus of everything we do, and millions of end users rely on our products daily. We believe in the value of empowering Claims Manager with the resources to solve critical problems for the future of our business, which is why we need you.  Manulife HK is seeking an sophisticated Claims Manager,...

Vous êtes unique, comme le sont votre parcours, votre expérience et votre façon de voir les choses. Ici, on vous encourage et on vous motive à donner le meilleur de vous-même, et on vous donne les moyens de le faire. Vous travaillerez avec des collègues dynamiques – experts dans leur domaine – qui sont impatients de partager leurs connaissances...

Job DescriptionMission:A leading contributor to PartnerRe’s Life and Health Asia Pacific strategy to become a top tier reinsurer by being solution oriented, leading by excellence in underwriting and claims innovation and execution, disciplined in its ability to underwrite risks and manage claims.Accountabilities: Key deliverable 1 (Medical Underwriting):...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

Job SummaryLarge and complex claims handling and managerial support Job AccountabilitiesResponsible for the large and complex liability and property claims Actively involve in organizing of customer meeting presentation and the preparation of Powerpoint slides Provide technical support to the team including work simplification and automation initiatives...

Job SummaryTo handle personal line claims focusing on Travel With low levels of supervision to manage standard complex (medium/high severity/complexity) claims in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Zurich Basics Job AccountabilitiesResponsible for personal line claims focusing on...

Assist Claims Manager to support the claims team in claims investigation, daily claims operation, enquiry, and continuous claims process improvement Assess and approve complicated claims Monitor and control daily operations to be carried out smoothly To ensure delivery of agreed service standards To handle enquiries from distribution enquiry team,...

FIND YOUR 'BETTER' AT Blue Cross If you believe in better, we’d love to hear from you. About the Role Responsible for handling and approving medical claims based on delegated claims authority in accordance with the established procedures and guidelines Accountabilities: Process pre-authorisation and pre-assessment cases according to the...

Assist Assistant Claims Manager to support the claims team in daily claims operation, enquiry and continuous claims process improvement Assess and approve complicated claims Meet service turnaround time and achieve claims KPI targets To handle enquiries from distribution enquiry team, customer enquiry team and customer complaint team Assist in reviewing...

The role: Quality Assurance AnalystThe primary responsibility of this position is to ensure quality of customer service, correctness of claims assessment and also to review the claims operations process follow agreed procedures.The role is also required to provide a broad range of account servicing support to Mercer employee benefits clients, including...