Medical Claims Processor

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. Medical claim officer will deal with medical claims throughout the world.

Opportunity details

Opportunity Type

Graduate Job

Applications Close

18 Mar 2022

Accepting International Applications

No

Qualifications Accepted

M

Audiology & Speech Pathology

Biomedical Science

Chiropractic & Osteopathy

Exercise & Sports Science

Health Administration

Medical & Health Sciences (all other)

Medical Technology

Medicine & Medical Science

Naturopathy, Acupuncture & Complementary Medicine

• Process and capture information to system according to established methods and procedures
• Handles inpatient claims worldwide (mainly from Hong Kong, Macau and Mainland China)
• Issues decline / follow-up to the clients for outstanding information and clarifications
• Practice good judgment in approving, make necessary recommendation and declining medical claims of clients
• Consistently attain the service level set by the Company
• Assist colleagues and other teams in their production work upon request
• Setup cases and identify discrepancies and irregularities during processing
• Suggest ways on how to improve the current process and team metrics
• Handle multiple tasks in a fast-paced environment
• Constantly increase the number of knowledgeable functions handled by the team
• Such other duties and functions as assigned by Supervisor

Qualifications:

• Medical knowledge
• 1-2 years Medical claims experience
• Knowledge in claims processing
• Completed a Bachelor’s Degree in related field

Technical Skills:

• Minimum keyboard typing skills of 32 words per minute
• Ability to use desktop computer system
• Lotus Notes knowledge 
• Knowledge of MS Applications (Word, Excel & MS Power point)

Soft Skills:

• Chinese literate including reading comprehension and typing (this is already indicated and will be verified in minimum qualifications)
• Good written and verbal communication skills (English & Chinese)
• Ability to express ideas clearly and concisely in writing letters to clients and agents

Required key attributes: 

• Good organization and analytical skills
• Willing to render overtime work as needed
• Flexible and adaptable to change
• Proven ability to balance approach in different levels of transactions
• Willingness to experiment and take risks
• Can handle multiple tasks in a fast-paced environment
• Proficient in handling all the work and processes assigned
• Always on time to work / meetings and is not sickly
• Accountable for one's actions
• Compliance-minded 
• Demonstrates initiative to improve
• Open for team collaboration
• Extra-miler and constantly pushes the limits of current responsibilities
• Has a positive attitude towards accepting additional challenges and new assignments
• Customer-centric and service oriented 
• Actively pursues personal and professional development opportunities
• Fast learner 

Process Specific Knowledge: 

• Knowledge of evaluating application forms, claim history, inforce period, attending physician statement with the ability to making sound assessment
• Ability to understand the logic of pre existing conditions, non disclosures & exclusions within every claim assessed
• Be able to provide sound decisions whether to proceed investigation/s, decline, approve or to re-route to underwriting the claim cases handled

Work rights

The opportunity is available to applicants in any of the following categories.