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Detail posisi

To sustain the growth of the company as well as the expansion of our services we are currently looking for a Senior Claims Administrator with a focus on Letter of Guaranty emission. Your role will be essential to provide peace of mind to our clients and accompany them in complex situations. Customer-centric and proactivity are a must.

Kewajiban

Your main responsibilities will include:
• Handle incoming phone calls and manage the emails in a timely manner
• Handle hospitalization pre-approval by checking the eligibility of coverage and providing close case handling monitoring throughout the process
• Assess simple medical eligibility
• Assess if costs are reasonable and customary
• Proactively manage cases using our system/ tools and communicate with all relevant departments
• Follow the process and always update the cases to ensure smooth teamwork
• Keep the clients updated on ongoing cases
• Process original invoices in our case-handling system
• Assist the Manager on special projects
• Contribute to other office activities upon request according to workload and priorities

Kualifikasi

Your profile:
• Bachelor’s degree, a specialization in nursing is a strong plus
• 5+ previous experience in nursing, health administration, claims administration
• Fluent in both written and spoken English
• Able to work on at the office on Friday, Saturday and Sunday.
• You can work from home on Thursday and Monday after a successful probation period.
• Flexibility in the working hours will be expected
• Flexibility, adaptation, and a good mindset are key values for this role
• Have excellent communication, interpersonal and analytical skills
• Knowledge of Computer PC, MS-office, Internet, E-mail

Keuntungan