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Medical Claims Examiner
2 months ago
We are seeking a highly skilled and detail-oriented Medical Claims Examiner to join our team at The Great Eastern Life Assurance Company Limited. As a Medical Claims Examiner, you will be responsible for accurately and timely assessing health claims, ensuring compliance with internal and external regulatory requirements, and providing excellent customer service.
Key Responsibilities- Conduct thorough reviews of health claims to ensure accuracy and compliance with company policies and regulatory requirements
- Communicate with policyholders to clarify outstanding requirements and resolve claims-related issues
- Collaborate with internal stakeholders to ensure seamless claims processing and resolution
- Stay up-to-date with industry trends and regulatory changes to maintain expertise in medical claims examination
- Participate in quality improvement initiatives to enhance claims processing efficiency and customer satisfaction
- Diploma, degree, or professional insurance certificate with at least 1 year of relevant accident and health claims experience
- Strong analytical, written, and communication skills
- Customer-centric and meticulous with the ability to work under pressure
- Team player with high level of integrity and accountability
The Great Eastern Life Assurance Company Limited is a leading insurance company committed to delivering innovative insurance solutions and exceptional customer service. We value integrity, initiative, and involvement, and we are seeking like-minded individuals to join our team.