此职位不再接受申请
- Process pre-authorisation and pre-assessment cases according to the policies and guidelines;
- Process clinical operation and day case claims based on delegated claims authority in accordance with the established procedures and guidelines;
- Handle enquiries and complaints from both external and internal parties;
- Identify and investigate suspicious / fraudulent claims, and escalate cases to supervisor(s) where appropriate;
- Assist in system enhancement and workflow adjustment to meet customers' needs and service standard;
- Handle ad-hoc duties as assigned by supervisor(s).
- Holder of diploma or above qualifications with minimum 5 years working experience in medical claims, customer services or complaint management
- Qualified FLMI / FLHC or other related professional insurance qualifications would be an advantage;
- Familiar with operation framework of medical claims and healthcare network providers.
- Detail-minded with strong sense of responsibility and good organizational skills;
- Flexible and customer focused with the ability to multitask and work under pressure;
- Good communication and interpersonal skills;
- Good command of both written and spoken English and Chinese;
- Proficient in Microsoft Word, Excel, PowerPoint and Chinese Word Processing.
Medical Services, Specialist - Hong Kong, 香港 - AIA
描述
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About the Role
Handle and approve medical claims based on delegated claims authority in accordance with the established procedures and guidelines;Duties / Accountabilities:
Requestment: