The role is responsible for determining the validity and authorizing settlement of group health insurance claims
Job Summary
The role is responsible for determining the validity and authorizing settlement of group health insurance claims.
Candidates must proactively handle claim cases including timely investigation into suspicious abuse claims and cost-effectiveness engagement of service providers.
The position requires obtaining and maintaining a license as an individual insurance agent with the Insurance Authority.
Matching Summary
The role is responsible for determining the validity and authorizing settlement of group health insurance claims.
Skills & Requirements
Must-have
7 years relevant experience
3 years supervisory experience
Advanced Excel skills
Complex claims management
Insurance product knowledge
Nice-to-have
Self-motivated multitasking
Sound negotiation skills
Progress in ANZIIF qualification
ACII qualification progress
Team enhancement participation
Key Requirements
University degree or secondary education plus 7 years experience
Minimum 3 years at supervisory level
Fulfilment of fit and proper criteria for Insurance Authority licensing
Passes in IIQE Paper 1 & 2
Good knowledge of relevant legal procedures and legislations