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Senior Officer, Claims Management

Hong Kong, Hong Kong
Last update 2024-05-27
Expires 2024-05-26
ID #2155100546
Senior Officer, Claims Management
Hong Kong, Hong Kong,
Modified May 15, 2024


Job Responsibilities Handle pre-approval of commercial assessment Handle claims process, including both inpatient and outpatient medical claim Communicate with customer on pre-approval decision Improve the effectiveness of the claim adjudication and administration processes, with network service providers when necessary Handle provider claim enquiries from panel network Prepare report to management Conduct claim assessment processes, claim investigation and to review all status and ensure efficient outcome in customer oriented approach Meet standard of individual quality, turnaround time and productivity benchmark.

Handle project tasks and arrangement   Requirements Diploma or above, preferably with insurance-related qualifications, e.g.

FLMI, ICA At least 3 years’ experience in claims adjudication / administration Experience in working with pre-approval of medical claims Good team player, able to work independently and under pressure in a fast-paced environment Possess customer centricity mindset Good interpersonal and communication skills Cantonese speaker with good command of both English and Chinese

Job details:

Job type: Full time
Contract type: Permanent
Salary type: Monthly
Occupation: Senior officer, claims management

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