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Healthcare Claims Specialist
2 months ago
About the Role
At AIA, we are seeking a skilled Medical Claims Analyst to join our team. As a Medical Claims Analyst, you will play a critical role in assessing and processing claims based on delegated claims authority in accordance with established procedures and guidelines.
Duties / Accountabilities:
- Assess and process claims based on delegated claims authority in accordance with established procedures and guidelines;
- Support the implementation of claims management strategies and objectives;
- Meet benchmarked claims processing volume and turnaround time;
- Assist in handling inquiries or complaints from internal and external customers;
- Identify and conduct thorough investigations of suspicious cases, including reporting to superiors;
- Perform ad-hoc duties as assigned by supervisors.
Requirements:
- Colleague with a degree or above, and at least 2 years' relevant experience in medical claims;
- Professional qualifications in FLMI, FLHC, etc. will be an advantage;
- Familiarity with the operation of medical claims and healthcare network providers;
- Excellent communication and interpersonal skills;
- Detail-minded with a strong sense of responsibility and well-organized;
- Flexible and customer-oriented;
- Able to handle multiple tasks and work under pressure in a fast-paced environment;
- Good command of both written and spoken English and Chinese;
- Proficient in MS Office and Chinese Word Processing.
