Claims Assessment Specialist

4 days ago

Thành phố Hồ Chí Minh, Vietnam Manulife Full time

**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 claims-related issues and reach claims objectives;
- Duties to support Department targets and Company objectives as and when assigned by Team leader/Line Manager.
- Be in-charge of regular and ad-hoc reports for Claims Team, Claims VSO and COO.
- Take part in making user requirements for new products and testing them to make sure there are adequate features in the system for Claims users to use.
- Join projects of Claims CXT as SME role.

**3. How will you create impact?**

This role reports to Head of Health Claims. You are Claims Assessment 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.**When you join our team**:

- We’ll empower you to learn and grow the career you want.
- We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
- As part of our global team, we’ll support you in shaping the future you want to see.

**About Manulife and John Hancock**

**Manulife is an Equal Opportunity Employer**

**Working Arrangement**

In Office

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