Medical Claims Officer
1 week ago
The Medical Claims Officer will provide exceptional service to clients, efficiently assessing and processing claims in accordance with established operational standards.
Main Responsibilities- Manage daily claims administration tasks with precision and attention to detail.
- Coordinate workflow and meet deadlines to ensure timely claim processing.
- Evaluate claims for eligibility, making informed decisions based on standard operating procedures.
- Take ownership of high-cost and complex cases, applying sound judgment and expertise.
- Handle international preauthorization cases as required, ensuring seamless coordination with providers.
- Respond to inquiries from insurance companies, clients, and providers, providing clear and concise information.
- Collaborate with international providers for direct billing, streamlining the claims process.
- Identify opportunities for service improvement, implementing changes to enhance efficiency and minimize errors.
- Excellent organizational and time management skills, with a focus on meeting deadlines.
- Proven ability to work effectively as part of a team, building strong relationships with colleagues and stakeholders.
- Strong communication and interpersonal skills, with a focus on confidentiality and diplomacy.
- Ability to work under pressure, responding calmly and creatively to challenges and deadlines.
- Experience working with senior managers, demonstrating a pleasant and courteous demeanor.
- Customer & Market Excellence: Strive for excellence in every interaction with customers, fostering a culture of continuous improvement.
- Collaborative Leadership: Empower team members, providing purpose and direction, and promoting a culture of collaboration and knowledge sharing.
- Entrepreneurship: Act on opportunities, anticipate trends, and promote a culture of innovation and calculated risk-taking.
- Trust: Demonstrate integrity, honor commitments, and promote transparency and corporate social responsibility.
- Bachelor's degree in Medicine (MBBS) or equivalent.
- Relevant medical practical experience, preferably in the insurance industry.
- Physical fitness to perform duties.
- Legally permitted to work in the country of operations.
- Proficiency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
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