FIND YOUR 'BETTER' AT Blue Cross
We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.
We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.
If you believe in better, we’d love to hear from you.
About the Role
Assess and process medical claims according to delegated claims authority in accordance with the established procedures and guidelines
Duties / Accountabilities:
- Assess and process claims according to delegated claims authority in accordance with the established procedures and guidelines;
- Support the implementation of claims management strategies and objectives
- Reach benchmark of claims processing volume and turnaround time
- Assist in handling enquires or complaints from internal and external customers
- Identify and conduct thorough investigation of suspicious cases, including report to superior
- Handle ad-hoc duties as assigned by supervisor(s).
Requirements:
- Colleague graduated or above;
- 5 years’ relevant experience in insurance industry, preferably in medical claims;
- Professional qualification in FLMI, FLHC, etc. will be an advantage.
- Familiar with operation of medical claims and healthcare network providers
- Good communication and interpersonal skills
- Detail-minded with strong sense of responsibilities and well-organized
- Flexible and customer-oriented
- Able to handle multi-task and work under pressure in a fast paced environment
- Good command of both written and spoken English and Chinese
- Proficient in MS Office and Chinese Word Processing
Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
