Responsible for providing technical medical expertise for decisions and resolution of customer enquiries and claims and managing healthcare related services provided to policy holders
Job Summary
Responsible for providing technical medical expertise for decisions and resolution of customer enquiries and claims and managing healthcare related services provided to policy holders.
Ensure claim process at TPA have good quality and valid as our policy provision and Analyze TPA cashless claim Secondary layer review case amount >20 million before creating CDV.
Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.
Matching Summary
Responsible for providing technical medical expertise for decisions and resolution of customer enquiries and claims and managing healthcare related services provided to policy holders.
Skills & Requirements
Must-have
technical medical expertise
claim process quality assurance
TPA performance monitoring
minimize repetitive errors
customer satisfaction improvement
Nice-to-have
ambitious people
shaping the future
inspiring and supportive leaders
career and personal growth
Key Requirements
Bachelor's degree with medical doctor
Minimum 5 years relevant experience
knowledge in system, claim process, insurance principal