Internal Contractor - Claims

Job Description

• Assess complex claims especially for Death and Major across channels.
• To handle SIU regarding to charged with detecting and pursuing action against fraudulent activities.
• Support TPA service that need to improvement both quality and satisfaction level through auditing/quality review.
• Handle complaint due to claims decline and void increased from non-disclosure and abuse case.
• Improve customer satisfaction level and company NPS score of non-clean case.
• Support UAT new products such HPE, Multi CI, Accelerate CI

Qualifications

• Bachelor’s degree in medical field.
• At least 10 years’ experience in claims operation with at least 3 years’ experience in claims management.
• Working well under high pressure
• Good attitude and interpersonal skill
• Good communication skill.
• Good English communication skills
• Teamwork
• Able to work at office