Responsibilities
- Accept claim settlement within the bounds of your given authority.
- Handle healthcare claims in order to fulfill agreed-upon TAT with partners.
- Constantly check that the team is adhering to our client's claim philosophy by having our claim assessment standards reviewed, and engage in negotiations with insurers to keep the guidelines competitive.
- Offer staff members knowledgeable, strategic direction and counsel on challenging matters.
- Keep abreast of industry developments, laws, and rules pertaining to insurance claims.
- Create claims procedures that protect claim records from fraud risk and uphold their confidentiality.
- Offer direction to the group for its overall growth.
- Review the claims team's assessment of business risk.
- Closely collaborate with the management group to offer suggestions for bettering the line of goods and prices.
Requirements
- University of Medicine degree is given priority.
- Certified Fraud Examiners and Claim Assessors
- Ten years of experience in the legal, compliance, claims, investigation, or related domains.
- Exhibit a thorough comprehension of and a solid working relationship with pertinent stakeholders.
- Experience managing teams and individuals, which translates to career development, coaching, performance management, and direction provision.
- Preferable is life and health insurance
Interested candidate please send your CV to nhung.do@ev-search.com . We will get back to you for fully details.
