
Claims & Operations Manager
2 days ago
Our client is seeking a detail-oriented and proactive Claims & Operations Manager to oversee claims processes, daily operations, and system management, ensuring smooth workflows and excellent service delivery. This role requires strong problem-solving skills, the ability to multitask in a fast-paced environment, and a customer-focused mindset.
**Key Responsibilities**:
- Manage and audit claims forms, medical reports, and related documentation.
- Liaise with clinics, hospitals, and insurers to ensure timely and accurate claims submission.
- Track and monitor claim progress, ensuring prompt closure and regular status updates.
- Maintain and update claims data and summaries in internal systems.
- Pre-assess claims, review estimates, and identify improvements to submission processes.
- Provide claims-related advice to internal teams and management.
- Oversee patient operations including admissions, discharges, consultations, and follow-ups.
- Supervise daily operations to maintain service quality and compliance.
- Ensure accuracy of patient and insurance information in all records and systems.
- Support system improvements and process enhancement initiatives.
- Organize company meetings and events, including accurate minute-taking and coordination.
- Report incidents, feedback, or operational issues promptly to management.
- Mentor and guide junior staff in claims and operational matters.
- Generate reports and insights for management as required.
- Uphold company standards, confidentiality, and service excellence at all times.
**Requirements**:
- Strong relationship management and interpersonal skills.
- Excellent written and verbal communication abilities.
- Resourceful, analytical, and detail-oriented with strong problem-solving skills.
- Resilient, adaptable, and able to multitask in a fast-paced environment.Confident, service-oriented, and committed to maintaining patient confidentiality.
- Proactive team player with strong organizational skills.
- Flexibility to support ad-hoc duties and respond promptly to queries.- **Attn: Woo Gu Ming (R24123795)
**
**Cultivar Asia Pte Ltd (MOM EA License: 19C9782)
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