Claims Assessment Manager

2 weeks ago

Ho Chi Minh City, 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

**The opportunity**

We are looking for Claims Manager to build, maintain and manage relationship with medical providers/partners networks to provide excellent and effective service to customers in healthcare.

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

**Responsibilities**
- Delivering excellent judgment, prompt, accurate claim assessment and excellent service to Healthcare claims in accordance with Claims Department’s guidelines and procedures;
- Managing of TPA in claims assessment to meet Service Level Agreement (SLA), control quality of claim assessment;
- Proposing, initiating and managing operations of team to ensure the team’s activities smoothly executed in accordance with the Company principle and guidelines; monitoring quality and productivity of Claims staff to ensure fast and accurate assessment as Claims guidelines and cost efficiency. This team is setup as a foundation of Core Healthcare members to support building Healthcare services;
- Recruitment and providing training courses to team members to ensure the skills and knowledge developed effectively;
- Assessment claims as per prescribed authority limits; resolving complex claims and/or developing recommended solutions based on good judgment, initiative and technical skills;
- Building and maintaining excellent relationship with hospital, clinic networks and government offices, managing the Hospital/clinic and TPA/partner networks to provide excellent and effective service to customers;
- Duties to support Division targets and Company objectives as and when assigned by Line Manager; Cooperation with other Departments such as CS, Underwriting, IT, Agency... etc. to smoothly solve all claims-related issues and reach claims objectives.

**How will you create impact?**

This role reports to Head of Health Claims. You are Claims Manager to build, maintain and manage relationship with medical providers/partners networks to provide excellent and effective service to customers in healthcare.

**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.

**What we are looking for**
- Education: University degree in economics or equivalent, preferably in insurance field. English intermediate is preferred.
- Minimum 2 years of healthcare insurance/services, medical service providers/partners development experiences
- Deep relationship with medical service providers/ partners at least 2 years.
- Having Microsoft office and teamwork.
- Having mature negotiation, stakeholder management and communication skill.
- Being careful, proactive, enthusiasm, hardworking, collaborative and honesty.
- Being able to work under high pressure. Good attitude and respect colleagues.

**What can we offer you?**
- A competitive salary and benefits packages.
- A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.
- A focus on growing your career path with us.
- Flexible work policies and strong work-life balance. Professional development and leadership opportunities.

**Our commitment to you**
- Values-first 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.
- Continuous innovation
We invite you to help redefine the future of financial services.
- 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 all stakeholders and has a positive social and environmental impact.

**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 managemen

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