Medical Adjudication Specialist

4 days ago


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

As a Medical Adjudication Specialist at Flippa, you will play a critical role in ensuring that medical claims are processed fairly and efficiently.

Your key responsibilities will include:

  • Reviewing and evaluating medical claims to determine coverage and liability.
  • Communicating with policyholders and claimants to provide clear explanations of claims decisions.
  • Working with healthcare providers to resolve any issues or discrepancies.
  • Identifying areas for process improvement and implementing changes to increase efficiency.
  • Collaborating with other teams to achieve business objectives.

To be successful in this role, you will need:

  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Proficiency in Microsoft Office applications.

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