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Medical Claims, Analyst
AIAAIA Blue Cross, Hong Kong, HK30 天前
职位类型
- serp_jobs.job_card.full_time
职位描述Colleague graduated or above; 5 years’ relevant experience in insurance industry, preferably in medical claims; Professional qualification in FLMI, FLHC, etc. will be an advantage. Familiar with operation of medical claims and healthcare network providers Good communication and interpersonal skills Detail-minded with strong sense of responsibilities and well-organized Flexible and customer-oriented Able to handle multi-task 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
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About the Role
Assess and process medical claims according to delegated claims authority in accordance with the established procedures and guidelines
Duties / Accountabilities :
- Assess and process claims according to delegated claims authority in accordance with the established procedures and guidelines;
- Support the implementation of claims management strategies and objectives
- Reach benchmark of claims processing volume and turnaround time
- Assist in handling enquires or complaints from internal and external customers
- Identify and conduct thorough investigation of suspicious cases, including report to superior
- Handle ad-hoc duties as assigned by supervisor(s).
Requirements :