Job Responsibilities:
- You will be handling pre-authorization of applications and LOG issuance under the healthcare plans.
- Provide accurate and timely adjudication of cases within the required service standards to meet operational and SLA targets
- Handle early claim investigation, complex claims and appeals.
- Negotiate with network provider on the cost-effective options for stakeholders.
Job Requirements:
- Minimum Diploma, GCE “O” or “A” level with at least 3 years of health claims and/or medical insurance experience;
- Relevant Insurance Certificate e.g. Cert SCI (Health Insurance) will be an added advantage;
- Candidates with nursing background looking for a career switch or new challenges will also be seriously considered;
- Strong, analytical, written and communication skills;
- Customer-centric and meticulous with the ability to work under pressure; and team player
