Claims Executive

Working location: Bendemeer

. Provide accurate adjudication of claims, pre-authorization and LOG issuance to meet operational targets.
. Conduct regular review of current processes and work with stakeholders to develop and maintain an efficient process for an improved customer experience.
. Manage escalated cases and multiple stakeholder relations liaise with teams from corporations and insurance companies.

. Work closely with Specialists, Clinics and Hospital teams to facilitate members insurance claims from Letter of Guarantee/pre-authorization requests to claims processing.
. Be familiar with relevant policy terms and conditions and maintain accurate case records and all related communication.
. Provide timely reports and follow up closely on claims with various internal and external stakeholders.
. Any other special projects and ad-hoc duties assigned when appropriate.

. Diploma/degree and above with 1-3 years of work experience in Healthcare/Insurance/Third Party Administrators industries preferred.
. Detail-oriented, proactive and willing to learn.
. Ability to communicate clearly in both writing and verbally.
. Ability to handle and mediate sensitive issues calmly, empathetically and professionally.
. Proficient in Microsoft Office applications.

.Meticulous with keen attention to details
.Articulate and confident
.Resourceful
.Team player
.Independent
.Able to multi-task