Job Description
As a Claims Assessor, you will assist the Claims Manager with in-patient and out-patient medical claims for corporate clients. The role will also assist in resolving the issues and participating in activities within Claims Section as well as providing day-to-day support in management of claims partners.
You will be responsible for :
- Different facets of claims processing as assigned,
- Management of claims to ensure timely processing,
- Adjudicate medical claims with accuracy and approve claims that are within given authority limit,
- Ensure all queries are timely responded,
- Work closely with insurers / corporate clients / customers on claims matters / enquiries / complaints.
- Other ad-hoc duties as assigned.
Requirements / Qualification
Candidate must possess at least Diploma / Advanced / Higher / Graduate Diploma, Bachelor's Degree / Post Graduate Diploma / Professional Degree in any field.Required language(s) : EnglishAt least 2 Year(s) of working experience in the related field is required for this position.CGI and Health Insurance Certification is a must.Proficient in basic computer applications e.g. Microsoft Office.Willing to learn new skills / knowledgeSelf-motivated individual with strong sense of responsibility.Resourceful with strong problem-solving skill.Good team player and service oriented.