Claims System & Process Specialist

Banklife

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Daily healthcare reimbursement claims assessment
Mr claims workflows and policy compliance
Process review and sop development
** The Claims System & Process Specialist position at Banklife involves hands-on daily assessment of healthcare reimbursement claims, alongside leading process review and improvement initiatives. The role emphasizes both operational efficiency and compliance, requiring strong analytical skills and experience in claims processing. **

Job Summary

  • The role acts as a bridge between operations, process governance, and system transformation to ensure stable daily performance.
  • Candidates must perform daily assessments of complex healthcare reimbursement claims while leading continuous improvement initiatives.
  • Manulife offers a flexible environment focused on well-being, inclusion, and career growth within a global team.

Matching Summary

Match Score: 75

** The Claims System & Process Specialist position at Banklife involves hands-on daily assessment of healthcare reimbursement claims, alongside leading process review and improvement initiatives. The role emphasizes both operational efficiency and compliance, requiring strong analytical skills and experience in claims processing. **

Skills & Requirements

Must-have

  • Daily healthcare reimbursement claims assessment
  • MR claims workflows and policy compliance
  • Process review and SOP development
  • MS Excel proficiency for data analysis
  • Hands-on experience with claims processing systems

Nice-to-have

  • Senior assessor or team lead experience
  • UAT and go-live project support
  • Cross-functional communication skills
  • Ability to balance operations with improvement

Key Requirements

  • Proven experience in daily claims assessment
  • Solid understanding of MR claims policies and medical terminology
  • Experience in process review and operational improvement
  • Strong analytical and problem-solving skills

Work Rights

Not specified

Tailored Resume

Cover Letter