Job Description
Specialist - A&H Claims Payment (ASO)
About the Role
We are looking for a detail-oriented Claims Payment Specialist (ASO) to manage and administer medical claims under Administrative Services Only (ASO) arrangements.
In this role, you will be responsible for ensuring accurate, timely claim processing while delivering a high standard of service to corporate clients and their employees. You will play a key part in driving operational excellence and client satisfaction through efficient claims assessment and collaboration with stakeholders.
Your Key Responsibilities
- Process and register medical claims under employer-sponsored benefit plans (ASO scheme)
- Review and verify claim submissions against health plan design, benefit schedules, and policy conditions
- Assess eligibility and approve claims within assigned authority, in line with plan limits and exclusions
- Coordinate wit...