Claims Officer (Ưu Tiên Bác Sỹ)

I – GENERAL FUNCTION:

A Claims Officer is responsible for evaluating and resolving claims, providing medical expense guarantees, managing claims administration and handling other related tasks within the assigned authority.

II – DUTIES & RESPONSIBILITIES:

• Evaluate and resolve health insurance claims, provide medical expense guarantees according to the service level agreement/ key performance indicator within the assigned authority.

• Process claims on systems according to company guidelines.

• Contact and work with healthcare service providers and company partners.

• Manage the administration and other tasks as assigned by the department manager.

• Handle other duties as assigned.

III – REQUIRED COMPETENCIES:

• Responsibility & result orientation.

• Pay attention to details and careful.

• Have passion for learning about insurance.

• Possess analytical thinking and decision-making skills.

IV – QUALIFICATIONS:

• Priority of Medical Doctor.

• Proficient in English.

• Proficient in MS Excel, Word, and Outlook.

• Ability to work independently as well as in a team.

• Able to withstand high work pressure.

• Willing to work outside regular office hours.