This is a 6-month contract firstly and will be converted to a full-time position after that
This position will be in charge of claim servicing for Health & Benefits team and contribute to the achievement of renewal target of the team
The Role
Manage a portfolio including both locally & high-end products with various client types;
Monitor Insurer's claim services to meet client's SLAs;
Daily consulting with clients on benefits enquiries, claims clarification, other concerns from clients regarding Employee benefits policy;
Provide detailed guidance support when clients have claim dispute with Insurer;
Making recommendations to clients as appropriate for alternative dispute resolution;
Support client should urgent matter arise such as direct billing process;
Liaise with providers such as Insurer, TPA, Medical providers to produce best services to clients;
Preparing reports of escalated claims for management review and guidance;
Working closely with
Account Managers and Brokers to resolve coverage disputes with insurers, improving claim services, giving insights of a claim PIC.
Researching and keeping updated with recent Government Laws and Regulations
Assisting Services team with seminar and handbook preparation
Developing and maintaining working collaborations with internal/ external stakeholders;
Other tasks assigned by the Company
The Requirements
University degree
English & Vietnamese Fluency
Extensive knowledge of insurance-related policies and legislations, at least 2 year of experience of handling healthcare claim
Excellent conflict resolution skills
Strong written communication skills
Proactive and autonomous
Long-term commitment
Good communication, time management and problem-solving skills
Client-oriented, innovative and critical sense
Be able to work under high pressure
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