Responsibilities
Provide expert advice and guidance to team members and using your medical knowledge and experience to assess and ratify claims.
Create and maintain a knowledge base to continually develop the level of expertise in the claims team
Provide training to maintain existing knowledge and introduce advancements in medicine.
Manage relationships with medical facilities, partners and members globally to provide the best possible service.
Act as an escalation point for disputed claims.
Ensure processes and operational practices are carried out by staff, meeting our customer service expectations. This means driving performance on an individual and corporate level.
Join an out of hours senior manager on-call system providing staff with access to expertise, support and decision making.
Develop case management capability to fulfil customer and corporate needs as well as supporting fraud identification and reduction.
Identify and suggest best practice. Working with managers and supervisors to implement it.
Work with fellow managers to identify areas of business development, creating new products and services.
Requirements
Bachelor's degree of Medicine
More than 3 years of GP expedience in hospital, working experience in insurance company is an added advantage
Excellent command of spoken and written English
Office hour (8am - 5pm) /5 working days