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Assess outpatient and inpatient hospitalization claims from Group/Individual policyholders as per stipulated benchmarks and requirements

Job Responsibilities:

• Responsible to assess and pay the outpatient and inpatient hospitalization claims.

• Responsible to review and pay cases that exceed authority limit.

• Meet department and individual quality target, turnaround time and productivity benchmark.

• Ensure all special account policy is attended and resolved within the agreed timeline.

• Communicate closely with 24/7 contact center and ensure emails are responded timely.

• Assisting team members within the team as and when required.   

• Assist on general administration and any special allocated tasks as and when required. Seek to understand rationale with facts for better claims analysis.

Job Requirements:

• Education: Degree in Bioscience and Medical Science related field of study.

• Language: Proficient in both written and spoken English and follow respective country’s requirements

• Experience: At least 2 years working experience as Claims Assessor in Insurance Industry

• Fresh graduate are encouraged to apply

• Proficient in Microsoft Office (Word and Powerpoint).

• Self-motivated and customer orientated.

• Sound problem solving.

• Time management skills.

• Able to commit for long working hour including weekend and public holiday.

Build a career with us as we help our customers and the community live healthier, longer, better lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.