WTW

Claim Officer, Health & Benefits (6-month contract)

Posted: 1 hours ago

Job Description

This is a 6-month contract firstly and will be converted to a full-time position after thatThis position will be in charge of claim servicing for Health & Benefits team and contribute to the achievement of renewal target of the teamThe RoleManage a portfolio including both locally & high-end products with various client types;Monitor Insurer’s claim services to meet client’s SLAs;Daily consulting with clients on benefits enquiries, claims clarification, other concerns from clients regarding Employee benefits policy;Provide detailed guidance support when clients have claim dispute with Insurer;Making recommendations to clients as appropriate for alternative dispute resolution;Support client should urgent matter arise such as direct billing process;Liaise with providers such as Insurer, TPA, Medical providers to produce best services to clients;Preparing reports of escalated claims for management review and guidance;Working closely with Account Managers and Brokers to resolve coverage disputes with insurers, improving claim services, giving insights of a claim PIC.Researching and keeping updated with recent Government Laws and RegulationsAssisting Services team with seminar and handbook preparationDeveloping and maintaining working collaborations with internal/ external stakeholders;Other tasks assigned by the CompanyThe RequirementsUniversity degreeEnglish & Vietnamese FluencyExtensive knowledge of insurance-related policies and legislations, at least 2 year of experience of handling healthcare claimExcellent conflict resolution skillsStrong written communication skillsProactive and autonomousLong-term commitmentGood communication, time management and problem-solving skillsClient-oriented, innovative and critical senseBe able to work under high pressureAn equal opportunity employer

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