[my] Senior/executive, Outpatient Claims (1 Year Contract)

DOCTOR ANYWHERE PHILIPPINES Inc

Petaling Jaya, Malaysia
Not specified (assumed hybrid based on the nature of the role)
End-to-end claims processing
Timely processing & claim administration
Accurate adjudication of health insurance claims
Doctor Anywhere Philippines Inc is seeking a Senior/Executive Outpatient Claims professional for a one-year contract, focusing on accurate adjudication and management of health insurance claims. The ideal candidate should possess a strong problem-solving mindset and be adaptable in a fast-paced, start-up environment

Job Summary

  • Doctor Anywhere's Operations team plays a vital role in driving the success of our TPA business, focusing on operational excellence and a best-in-class customer experience.
  • The role involves proactive management of claims, timely processing, adjudication, and deciding on claim settlements within the stipulated turnaround time.
  • Doctor Anywhere is a regional tech-enabled, omnichannel healthcare provider making healthcare simple, accessible, and efficient for all across Southeast Asia.

Matching Summary

Match Score: 85

Doctor Anywhere Philippines Inc is seeking a Senior/Executive Outpatient Claims professional for a one-year contract, focusing on accurate adjudication and management of health insurance claims. The ideal candidate should possess a strong problem-solving mindset and be adaptable in a fast-paced, start-up environment.

Skills & Requirements

Must-have

  • end-to-end claims processing
  • timely processing & claim administration
  • accurate adjudication of Health insurance claims
  • continuous communication with customers

Nice-to-have

  • mindset of continuous improvement
  • demonstrate curiosity and collaboration
  • comfortable with ambiguity
  • start-up attitude
  • flexible to learn new things

Key Requirements

  • minimally 3 years of assessing claims
  • Diploma/Degree in any discipline
  • Insurance/ Medical Assistance/ TPA experience

Work Rights

Not specified

Tailored Resume

Cover Letter