Claims Executive

Responsibilities:

• Review, assess and approve medical claims accurately within the agreed targeted service turnaround time and respective client/insurer claims adjudication guidelines & practices
• Handle enquiries from internal and external parties within the agreed targeted turnaround time
• Attend to claims investigation and provide findings/chronological updates
• Timely follow-up & follow-up on pending cases for proper closure
• Provide resolution for escalated cases
• Preparation of monthly reports
• Perform any ad-hoc task/assignment as required

Requirements:

• Good communication, interpersonal and customer engagement skills
• Good command of English (written and spoken)
• Proficient in MS Office
• Initiative, Responsive, Responsible and Disciplined
• Service-oriented, good team player and able to multi-task
• Meticulous with keen attention to details
• Claims processing experience/knowledge is an advantage