Job Description
$3820 Analyst, Retail Health Claims (6 Months) #ESS
- Responsible for daily health claims assessment day & operational duties within the team, ensuring valid claims are assessed according to Policy’s terms & benefits and within the claim authority limit.
- To provide accurate and timely assessment of health claims within required service standards.
- Ensure claims are settled within the agreed turnaround time.
- Ensure that pending claims are followed up and managed on a timely basis.
- Ensure that complaints are managed effectively and on a timely basis.
- Provide or support training on claims.
- Provide support, face-to-face meeting and resolve customers and intermediaries’ complaints.
- Provide claims statistics and reporting.
- Comply with regulatory and risk management controls, corporate policies, procedure and claims guidelines.
- Ensure full understanding of Fair Dealing Outcomes and one’s own accountab...