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About this position

The Claim Assessor will be responsible for assessing and adjudicating insurance claims, ensuring completeness of documents, managing issues, processing new claims, and meeting productivity standards. The ideal candidate should have a minimum Diploma or Bachelor's Degree, fluent in English, able to work in shifting hours, possess analytical skills, excellent communication skills, time management skills, and preferably have experience in Customer Service or Claim Analyst roles in the Healthcare or Health Insurance Industry.

Responsibilities

• Assess and adjudicate insurance claims appropriately and accurately in accordance with the terms and conditions of the insurance policy.
• Ensure the completeness of documents and information to determine the eligibility of claims.
• Manage all issues, able to escalate and follow up and liaise with concerned parties internally or externally.
• Responsible for processing new claims and monitoring old claims consistently.
• Accountable for daily operations to meet productivity or service standards defined by clients in line with management and division.

Requirements

• Minimum Diploma or Bachelor's Degree in any major.
• Fluent written and verbal in English.
• Able to work in shifting hours.
• Analytical skills and attention to detail in assessing and processing claims.
• Excellent written and oral communication skills to handle correspondence.
• Good time management skills and ability to prioritize workloads to meet deadlines.
• Experience in Customer Service and Claim Analyst, in the Healthcare or Health Insurance Industry will be an advantage.

Benefits