Job Description
Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service. Will supervise and lead the Reimbursement Team in the end-to-end claims processing. Executes strategies and action plans of the department according to goals ( KPI ) for the year Monitors and ensures prompt resolution on escalated cases including complaints. Approves escalated cases within the assigned authority limit Monitors the day-to-day performance of the team, including the daily productivity of the processors through WIP. Conducts spot audit on claims processed by the team Provides coaching and mentoring to the team to ensure compliance on the claims processes and policies Submission of end of day prod report and other report that may be required by the head Performs other tasks as may be assigned from time to time ...