Healthcare Claims Analyst

7 days ago


Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

DISCOVER YOUR POTENTIAL WITH AIA

We are eager to connect with individuals who aspire for excellence.

Position Overview

As a Healthcare Claims Analyst, you will evaluate and process claims in line with the assigned claims authority, adhering to established protocols and standards.

Key Responsibilities:

Evaluate and process claims in accordance with the assigned claims authority and established protocols; Assist in the execution of claims management strategies and objectives; Achieve targets for claims processing volume and turnaround times; Address inquiries or complaints from both internal and external stakeholders; Identify and thoroughly investigate suspicious claims, reporting findings to management; Perform additional tasks as directed by supervisors.

Qualifications:

A degree or equivalent qualification; with a minimum of 2 years' relevant experience in healthcare claims; Professional certifications such as FLMI, FLHC, etc. are advantageous. Familiarity with the operations of healthcare claims and provider networks; Strong communication and interpersonal abilities; Detail-oriented with a strong sense of responsibility and organizational skills; Adaptable and customer-focused; Capable of managing multiple tasks and working under pressure in a dynamic environment; Proficient in both written and spoken English and Chinese; Skilled in MS Office and Chinese Word Processing.

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