Providers Management

AIA

Bachelor's degree in insurance or medical
3+ years experience in tpa or insurance
Knowledge of claim processes and aia policies
The role involves developing and maintaining relationships with healthcare providers such as hospitals, clinics, and pharmacies to ensure best-in-class service

Job Summary

  • The role involves developing and maintaining relationships with healthcare providers such as hospitals, clinics, and pharmacies to ensure best-in-class service.
  • Responsibilities include reviewing policy addendums, managing settlement and complaint handling, and preparing regular utilization reports.
  • Candidates must possess a strong understanding of insurance principles and medical concepts to support AIA's mission of helping people live healthier lives.

Matching Summary

The role involves developing and maintaining relationships with healthcare providers such as hospitals, clinics, and pharmacies to ensure best-in-class service.

Skills & Requirements

Must-have

  • Bachelor's degree in Insurance or Medical
  • 3+ years experience in TPA or Insurance
  • Knowledge of claim processes and AIA policies
  • Strong leadership and decision-making skills

Nice-to-have

  • Ability to work under pressure
  • Excellent communication skills
  • Experience with provider performance dialogues

Key Requirements

  • Bachelor's degree required
  • Minimum 3 years of relevant experience
  • Good knowledge of system and claim process at TPA

Work Rights

Not specified

Tailored Resume

Cover Letter