Insurance Claims Handler
4 days ago
The Insurance Claims Handler will be responsible for assisting the Team Manager in medical claims handling, including improving customer experience and cost management.
Main Responsibilities:
- Advise policyholders and claimants on medical policy and claims related matters.
- Process and adjudicate medical claims in an efficient and effective manner.
- Conduct cost review and hospitalization pre-approval cases.
- Streamline process to increase efficiency.
- Assist in ad hoc projects assigned by Team Manager for operation and service improvement.
- Provide customer services to the brokers and direct clients on claims related issues.
- Ensure each claim is assessed correctly in accordance with policy coverage and within the authority limit given.
- Ensure all correspondences and enquiries, including complaints, are managed, and responded to in a timely manner with excellence claim service.
Main Requirements:
- Bachelor's degree plus professional insurance qualifications.
- Min. 2 years' medical claims exposure, with experience in handling individual and group claims adjudication is an advantage.
- Detail-minded, service-oriented, team player with good communications and interpersonal skills.
- Fluent spoken and written Cantonese, Mandarin and English.
- PC proficiency in MS Office.
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