Assistant Claims Officer

Responsibilities:

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      • Adjudicate claims according to policyholder's policy provisions and approves claims up to allowable limit of approval in a professional and effective manner within the turnaround time;
      
      
      • Handle GOP request from insured, brokers, network facilities or emergency assistance company for outpatient and inpatient cases
      
      
      • Cooperating with emergency assistance company for emergency cases during and outside of office hours
      
      
      • Handle inquires and complaints from regional offices and Customer Services Department
      
      
      • Handle outgoing claims advice to customers, brokers and regional offices
      
      
      • Coordinating with regional offices and Finance Department in delivery of claims payment to client and medical providers
      
      
      • Monitor claims input by regional offices
      
      
      • Assist Claims Manager to undergo UAT in system enhancement
      
      
      • Carry out ad-hoc duties as assigned by the Company
      
      
      
      
    
    
    
    
  
  
  
  

Requirements:

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      • Tertiary education or above
      
      
      • 3-4 years Claims management experience
      
      
      • Knowledge in insurance principles
      
      
      • FLMI and/or medical knowledge would be an asset
      
      
      • Good communication skills with fluency in spoken and written English
      
      
      • Good PC skills in MS Word and Excel
      
      
      • Fresh graduate is welcome. Candidate with less experience may be considered for the position of Assistant Claims Officer