Claim Assessment Senior Specialist

• The incumbent need to follow the Operating Manual as guidance to standard operating process in administering all types of claims, including both reimbursement and direct billing cases.
• He/She is responsible for processing daily claims volume within the expected quality standards, standard processing time SLA, and overall turnaround time, including cases involving second-level review for adjudication...

a. Qualification

• Degree in Biomedical Science, Allied Health, Nursing or Biological Sciences and etc.

b. Experience

• Preferably experience in healthcare and/or claims, i.e. customer Service, HealthCare claims department or Hospital environment for at least 2-5 years.

c. Knowledge, Skills & Attributes

• Healthcare & Audit of Insurance/hospital related skills
• Good customer service background on claims or healthcare claims
• Good knowledge of life...