Claims Specialist

2 weeks ago


Ho Chi Minh City, Ho Chi Minh, Vietnam Manulife Full time

We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world.

From our environmental initiatives to our community investments, we lead with values throughout our business.

To help us stand out, we help you step up, because when colleagues are healthy, respected and meaningfully challenged, we all thrive.

Discover how you can grow your career, make impact and drive real change with our Winning Team today.

Working Arrangement
Hybrid

1.

The Opportunity:

We are looking for Claims Specialist to support Claims Manager assess healthcare claims to comply with Claims' guidelines. In addition, you contribute as Subject Matter Expert in projects relating to enhance healthcare services.

You shall work with dynamic, professional, and strong core values organization.

2.

Responsibility:


  • Supporting Manager to deliver excellent judgment, prompt, accurate claim assessment and excellent service to Health claims in accordance with Claims Department's guidelines and procedures.
  • Ensuring TPA's claims assessment to meet Service Level Agreement (SLA);
  • Working with Manager in claim services, preparation of Healthcare claims' guidelines and procedures;
  • Contribution as Subject Matter Expert in projects relating to enhance healthcare services;
  • Supporting Manager to assess Healthcare claims as per prescribed authority limits; resolving complex claims and/or developing recommended solutions based on good judgment, initiative and technical skills;
  • Collaboration with cross departments/functions to smoothly solve all claimsrelated issues and reach claims objectives;
  • Duties to support Department targets and Company objectives as and when assigned by Team leader/Line Manager.

3. How will you create impact?
This role reports to Head of Health Claims.

You are Claims Specialist to support team leader to assess healthcare claims for prompt, accurate assessment and excellent services to customers as well as to join as a Subject Matter Expert in health projects.


4. What motivates you?

  • You obsess about customers, listen, engage, and act for their benefit.
  • You think big, with curiosity to discover ways to use your agile approach and enable business outcomes.
  • You thrive in teams and enjoy getting things done together.
  • You take ownership and build solutions, focusing on what matters.
  • You do what is right, work with integrity and speak up.
  • You share your humanity, helping us build a diverse and inclusive work environment for everyone.

5. What are we looking for?

  • Education: University or College degree in economics or equivalent, preferably in insurance field. English intermediate is preferred.
  • Having at least 3 years in insurance. Medical Knowledge is a plus.
  • Having Microsoft office, teamwork, critical thinking and problemsolving skills.
  • Being careful, proactive, enthusiasm, hardworking, collaborative and honest.
  • Being able to work under high pressure.
  • Good attitude and respect colleagues.

6. What can we offer you?

  • A competitive salary and benefits packages.
  • A focus on growing your career path with us.
  • Flexible work policies and strong worklife balance.
  • Professional development opportunities.
  • Valuesfirst culture: We lead with our Values every day and bring them to life together.
  • Boundless opportunity: We create opportunities to learn and grow at every stage of your career.
  • Delivering the promise of Diversity, Equity and Inclusion: We foster an inclusive workplace where everyone thrives.
  • Championing Corporate Citizenship: We build a business that benefits

About Manulife and John Hancock


Manulife Financial Corporation is a leading international financial services group that helps people make their decisions easier and lives better.

With our global headquarters in Toronto, Canada, we operate as Manulife across our offices in Asia, Canada, and Europe, and primarily as John Hancock in the United States.

We provide financial advice, insurance, and wealth and asset management solutions for individuals, groups and institutions.

At the end of 2022, we had more than 40,000 employees, over 116,000 agents, and thousands of distribution partners, serving over 34 million customers.

At the end of 2022, we had $1.3 trillion (US$1.0 trillion) in assets under management and administration, including total invested assets of $0.4 trillion (US $0.3 trillion), and segregated funds net assets of $0.3 trillion (US$0.3 trillion).

We trade as 'MFC' on the Toronto, New York, and the Philippine stock exchanges, and under '945' in Hong Kong.

**Manulife is an Equal Opportunity Employer

  • Ho Chi Minh City, Ho Chi Minh, Vietnam AIA Full time

    At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone. It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ And to get there, we need...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Công Ty TNHH Bảo Hiểm Nhân Thọ Generali Việt Nam Full time

    **Công Ty TNHH Bảo Hiểm Nhân Thọ Generali Việt Nam**:- Trên 300 người**Claims Assessor Specialist**:- Hạn nộp hồ sơ: 03/04/2023- Lượt xem: 257- Đăng ngày: 05/03/2023***Yêu cầu kinh nghiệm**3 năm**Mức lương** triệu**Cấp bậc**Chuyên viên- nhân viên**Hình thức làm việc**Toàn thời gian cố...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Công Ty Cổ Phần Bảo Hiểm Nhân Thọ Phú Hưng Full time

    **Mô tả công việc**:(Mức lương: Thỏa thuận)- Prepare & send out claim reports/statistics (periodic/ ad-hoc).- Mainly be responsible to enhance/develop Claim systems. Perform UAT for system enhancement/ new products.- Handle claim settlement/claim payment from status claim decision to Accounting/CS process. Prepare reports accordingly. Handle...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Công Ty TNHH Bảo Hiểm Nhân Thọ Generali Việt Nam Full time

    **Mô tả công việc**:- Assess claim cases and make claim decision based on authorithy (Death/ Accident/ Medical Reimbursement/ Direct billing/income...)- Đánh giá và ra quyết định chi trả dựa trên thẩm quyền được phê duyệt_- Be responsible for feedback Complains from Customers- Chịu trách nhiệm giải đáp các thắc...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Manulife Full time

    **_Are you looking for a supportive, collaborative workplace with great teams and inspiring leaders? You've come to the right place. We're looking for ambitious people who share our values and want to make every day better for people around the world. If this sounds like you, and the career below sounds exciting, we'd like to hear from you. _****Working...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Công Ty TNHH April Việt Nam Full time

    Mô tả công việc:(Mức lương: Thỏa thuận)To sustain the company&039;s growth and expand our services, we are currently looking for a Claims Administrator.We are a part of the APRIL Group, a global insurance specialist with 2,300 staff in 16 countries.For over 30 years, APRIL International Care has been specializing in international health...

  • Specialist, Finance

    2 weeks ago


    Ho Chi Minh City, Ho Chi Minh, Vietnam Manulife Full time

    _Are you looking for a supportive, collaborative workplace with great teams and inspiring leaders? You've come to the right place. We're looking for ambitious people who share our values and want to make every day better for people around the world. If this sounds like you, and the career below sounds exciting, we'd like to hear from you. _Working...

  • Payroll Specialist

    2 weeks ago


    Ho Chi Minh City, Ho Chi Minh, Vietnam Tetra Pak Full time

    At Tetra Pak we commit to making food safe and available, everywhere; and we protect what's good - protecting food, protecting people, and protecting the planet. By doing so we touch millions of people's lives every day. And we need people like you to make it happen._Payroll Specialist:Tetra Pak is looking for a Payroll Specialist who will supports the...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam HRchannels Group - Headhunter Vietnam Full time

    HRchannels Group - Headhunter VietnamMD Complex Building, 68 Nguyen Co Thach, Nam Tu Liem, Hanoi View om MapPost Date: 26/04/2024Applications 0Views 43Job Detail: Offerd Salary (USD) Login to view salary Career Level Non Manager Experience 35 Years Gender Male/Female Sector Ho Chi Minh City, Vung Tau, Dong Nai Industry Expat, Export/Import, Sales Building...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Maison Full time

    Full time- HCM- 10/06/2023Job description detail- JOB BRIEF: Merchandise Planning Specialist will be on the full spectrum analysis on all product categories and to offer solutions in order to effectively establish a strong inventory and merchandising processes.- DETAILED JOB DESCRIPTION: Monitor shipment dates, goods receiving and launch to store schedule....


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Talentnet Full time

    $2,000 - $2,000 ServicesRESPONDSIBILITIES Demonstrate understanding of market planning and strategy development process and provide inputs on market industry, financial and sales analysis. Support Channel and Brand Specialist in Formulating annual marketing plan and development of Business Plan and Strategic Network Plan (SNP) _ Study and comprehend...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Bảo Hiểm Nhân Thọ Phú Hưng Full time

    ĐỊA ĐIỂM: Hồ Chí Minh Nội dung công việcMô tả công việc Assist line manager in developing plan & implementingfor PR Marketing campaigns/ projects (both internal and external communication projects) Be incharge content marketing including direction/ angle development, writing execution and management. Planning quarterly/yearly PR and...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Article Full time

    Description:Hi there, we're Article. We're a North American online furniture company creating remarkably better furniture experiences one sofa at a time. And as theWhy We Need You:Within the Vendor Quality Team, our Vendor Quality Specialist will be conducting quality audits for vendors, developing quality standards, training stakeholders on quality...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Kuehne+Nagel Full time

    You will be joining our Operational Care Team to add your expertise + skills to the delivery of Operational Excellence.- Your Role :You will be enabling transport activities by executing bookings, entering orders + generating all required export documentation while liaising with our Customer Care Specialists to ensure all requirements are met (in a timely...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Công Ty TNHH Article Solutions Việt Nam Full time

    Mô tả công việc:(Mức lương: Thỏa thuận)Why We Need You:Within the Vendor Quality Team, our Vendor Quality Specialist will be conducting quality audits for vendors, developing quality standards, training stakeholders on quality requirements, working on corrective actions, and providing support for escalated issues within a specific product...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Chubb INA Holdings Inc. Full time

    Job RequirementsThẩm định hồ sơ yêu cầu giải quyết quyền lợi bảo hiểmLàm việc với Công ty tái bảo hiểm về việc thẩm định giải quyết quyền lợi bảo hiểm thuộc thẩm quyền quyết định của Công ty tái bảo hiểmLàm việc với Bộ phận thẩm định hồ sơ yêu cầu bảo hiểm trong...

  • Product Specialist

    2 weeks ago


    Ho Chi Minh City, Ho Chi Minh, Vietnam Công Ty TNHH Minthacare Full time

    Mô tả công việc:(Mức lương: Thỏa thuận) You'll be the Product Expert of Bioderma Brand at MinthaCare company and will acquire knowledge on products, patents and clinical research results, through trainings and documentation available from brands. Stays abreast of trends in the market place to ensure the product's competitive position.Scope of...


  • Ho Chi Minh City, Ho Chi Minh, Vietnam Kuehne+Nagel Full time

    You will be joining our Operational Care Team to add your expertise + skills to the delivery of Operational Excellence.- Your Role :You will be enabling transport activities by executing bookings, entering orders + generating all required export documentation while liaising with our Customer Care Specialists to ensure all requirements are met (in a timely...

  • Analyst

    2 weeks ago


    Ho Chi Minh City, Ho Chi Minh, Vietnam WTW Full time

    The Role Perform standardized, highvolume operational activities to support both client & marketfacing specialists across the end to end placement lifecycle for new business and renewals Provide internal coordination of activity required for managing client interactions and queries Provide operational support including but not limited to answer clients'...

  • Paralegal Specialist

    2 weeks ago


    Ho Chi Minh City, Ho Chi Minh, Vietnam Samsung Electronics Full time

    Position SummaryProvide an optimum solution through a contract review and legal counsel.Minimize the company's legal risks by responding to major disputes.Role and Responsibilities1. [Supporting to examine a contract] Examine a general type of contract and provide a solution to minimize legal risks.2. [Legal counsel support] Examine a general type of counsel...