Job Responsibilities
Take claims through their life-cycle, end-to-end. This involves registering, evaluating and deciding claims, including complex and protracted claims. The focus is timely and accurate evaluation, setting the pace and standard of work for the entire unit.
Involve communication with insured members, medical facilities, and other parties, all with the objective of exceeding expectations providing the highest levels of service using in-depth product and procedural knowledge.
Share expertise and experience, and complete high level referrals to underwriters and department heads.
Requirements
Has formal medical education (Nursing or alike)
Experience practicing medicine (Registered Nurse with a few years of experience)
Prior experience in Claims Process
Excellent communication skills in English (Both written and oral)
Service mindedness and hardworking
Customer Service background would be advantage
Ability to work in shifts (Which covers weekends and public holidays)