Senior Claims Manager
7 months ago
**Mô tả công việc**:
(Mức lương: Thỏa thuận)
- Approve claim settlement within designated authority limit.
- Process claims for healthcare to meet committed TAT with partners.
- Provide constant review of our claim assessment guidelines to the team to ensure that it is complied with our client‘s claim’s philosophy and negotiate with insurers to ensure that the guidelines remain competitive.
- Provide strategic and expert guidance and consultation to staffs on complex cases.
- Maintain up-to-date knowledge of legislation, regulations and industry events related to insurance claims.
- Establish claims procedures against fraud risk and that maintain the confidentiality of claim records.
- Provide guidance to the team for overall development.
- Review business risk with the claims team.
- Work closely with the Management team to provide recommendations to improve product and pricing.
- Implement AI, OCR and ML for claim STP(straight-through-process)
- Handling other tasks as requested by the management.
**Chức vụ**: Trưởng Nhóm/Trưởng Phòng
**Hình thức làm việc**: Toàn thời gian
**Quyền lợi được hưởng**:
- Competitive salary with an opportunity for significant bonus based on performance.
- Full participation in insurance by the law, private premium health insurance, annual health checkup.
- Participate in the well-being activities of the company: team-building activities, year-end party, company dinner meets etc.
- Work in a young and active environment in a fast-growing startup.
- 20 days of paid leave a year: 14 days of annual leave, 4 days of sick leave, 1 extra day off with Company and 1 day off in the birthday month.
**Yêu cầu bằng cấp (tối thiểu)**: Đại Học
**Yêu cầu công việc**:
- Bachelor‘s degree in Law/ Economics/ Finance/Banking or relevant fields
- Degree in Medical University is prioritized.
- Certified Claim Assessors, Certified Fraud Examiner
- 10 years’ experience in Claims/Investigation/compliance/law/legal or relevant fields.
- Demonstrate strong understanding and strong collaboration with relevant stakeholders.
- Experience in team and people management reflecting in direction provision, performance management, coaching and career development.
- Life & Healthcare insurance is preferred.
- Proactive, hard-working & integrity
- Good computer skill (Excel, Word and PowerPoint)
**Yêu cầu giới tính**: Nam/Nữ
**Ngành nghề**: Bảo Hiểm,CNTT - Phần Mềm,Tư Vấn Bảo Hiểm
Đại Học
5 - 10 năm
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