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-effective engagement of service providers.
The position requires obtaining and maintaining a license as an individual insurance agent of Blue Cross 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 in claims
Supervisory experience with subordinates
Investigation of suspicious abuse claims
Authorization of claims payment within authority
Intermediate to advanced Excel skills
Nice-to-have
Sound negotiation and interpersonal skills
Ability to multitask in fast changing environment
Progress in achieving ANZIIF or ACII qualification
Self-motivated with problem-solving skills
Key Requirements
University degree or secondary education plus 7 years experience
At least 3 years at supervisory level
Fulfillment of fit and proper criteria of Insurance Authority
Passes in IIQE Paper 1 & 2
Good knowledge of insurance product and legal procedures