1.0 - 4.0 years

0 - 0 Lacs

coimbatore

Work from Office

Role & responsibilities Assist in validating and processing health insurance claims in accordance with Hong Kong Insurance Authority (IA) guidelines. - Ensure accurate data entry and documentation of claim details in the claims management system. - Support the review of claims for completeness and compliance with policy terms and conditions. - Coordinate with internal departments to gather missing documentation or information. - Flag potential discrepancies or anomalies for further review. - Maintain confidentiality and data protection standards in handling sensitive health information. - Respond to basic inquiries from policyholders regarding claim status and documentation requirements. - Ensure timely processing of claims to meet service level agreements (SLAs). - Assist in generating reports for internal tracking and audit purposes. - Stay updated on changes in claims procedures and regulatory requirements in Hong Kong. - Support continuous improvement initiatives in claims processing workflows. - Participate in training sessions related to claims systems and regulatory updates. Service and resolve inquiries from customers, members, beneficiaries, and others regarding Health Care products and benefits across multiple product lines Ability to communicate effectively across multiple channels, including phone, e-mail, chat, and text Ability to succinctly collect information from a customer to set up a new claim Ability to gather information from multiple source systems to understand and articulate the status of a claim and what information may be needed, next steps in processing, etc. Preferred candidate profile - Bachelors degree in Insurance, Business Administration, Healthcare Management, or related field. - Basic understanding of health insurance products and claims lifecycle. - Proficiency in Microsoft Office and claims management software. - Strong attention to detail and organizational skills.

Posted 5 days ago

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