Our client, a Medical Insurance Company is looking for a high calibre candidate to fulfill the above-mentioned position. Details are as followings:
Responsibilities:
Adjudicate claims according to policyholders policy provisions and approves claims up to allowable limit of approval in a professional and effective manner within the turnaround time;
Handle GOP request from insured, brokers, network facilities or emergency assistance company for outpatient and inpatient cases;
Cooperating with emergency assistance company for emergency cases during and outside of office hours;
Handle inquires and complaints from regional offices and Customer Services Department;
Handle outgoing claims advice to customers, brokers and regional offices;
Coordinating with regional offices and Finance Department in delivery of claims payment to client and medical providers;
Monitor claims input by regional offices;
Assist Claims Manager to undergo UAT in system enhancement;
Carry out ad-hoc duties as assigned by the Company.
Requirements:
Degree in Science or related subjects;
Fresh graduate is welcome;
Good communication skills with fluency in spoken and written English;
Good PC skills in MS Word and Excel.
Package:
13 months, bonus (discretionary)
Medical insurance coverage
Public Holidays
Languages
Cantonese
English
Skills
Service Provisioning
Monly Cheng
Gemini Personnel Limited · recruiter
Active today
Job Location
Wan Chai-Wan Chai, Wan Chai
Wan Chai
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