Executive, Claims

Job Description

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business.

• Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational and SLA targets
• Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience
• Manage escalations and stakeholder relations
• Being a champion for change as well as providing on-going training and development for effective claims management.
• Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints
• Conduct analysis, prepare periodic reports and presentation when required

• Strong technical understanding of the claims process for medical claims, prefer...