Executive/ Senior Executive - Claims Adjudicator (24/7 Cashless Administration) - Contract

Does customer satisfaction inspire you?

This role is to process and review all medical/ health claims within specified authority limit and ensure that payments are made within the turnaround time (TAT).

You'll be responsible for:

• To assess and process all health/ medical claim for reimbursement in line with policy guidelines within authority limit
• Responsible for the day-to-day 24/7 operations for guarantee facilities (hospital admission and discharge)
• To be responsible for claim settlement and ensure payments are process within the agreed turnaround time and service standard
• To support Helpline team with enquiries pertaining to medical reimbursement
• To response to customer’s enquiries on claim reimbursement matters in a timely manner
• Assume the responsibilities of other ...