Pre-authorization Service Manager, Operational Excellence Lead
1 week ago
AIA International Limited is seeking a skilled Pre-authorization Service Manager to join our team. As a key member of our organization, you will be responsible for ensuring the smooth operation of our pre-approval process and providing excellent customer service.
About the RoleThe Pre-authorization Service Manager will oversee the Pre-approval team, ensuring that all tasks are completed efficiently and effectively. This includes arranging resources, supervising team members, and monitoring performance.
Key Responsibilities:- Pre-approval Operations Management: Ensure the daily operation of the pre-approval process runs smoothly, including the hotline and nurse line functions.
- Team Supervision: Supervise team members to resolve operational and servicing issues, monitor their performance, and provide case management support.
- Hotline Duties: Manage the provider pre-approval hotline and nurse line, providing excellent customer service and health advice.
- Healthcare Initiatives and Projects: Participate in claims transformation projects, including customer journey reviews, provider management, and strategic initiatives.
- On-site Case Management Support: Handle customer inquiries and complaints regarding medical insurance policy operations, including pre-approval, letter of guarantee, medical service booking, claims, and in/outpatient arrangements.
- Education: University degree in Business Studies, Nursing, or relevant disciplines. Registered nurse preferred.
- Experience: Minimum 3-5 years of relevant experience, with at least 2 years in insurance or healthcare.
- Skills: Strong interpersonal, communication, and analytical skills. Good team player and customer-focused.
We believe in empowering our people to find their 'better' - in the work they do, the career they build, the life they live, and the difference they make. Join us as we help our customers and the community live Healthier, Longer, Better Lives.
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