Key Objective
The position is responsible for the delivery of best practice claims operations, consistent delivery of services within target levels, relationships with suppliers/stakeholders, management and reconciliation of the net claims expense budget and ownership of the customer experience.
Key Accountabilities & Responsibilities
Assessment of Group and Individual hospitalisation and surgical claims – reimbursement basis.
Auditing cashless claims for Group and Individual hospitalisation and surgical claims.
Overseeing and facilitating payment processing for bordereaux medical claims.
Performing sanctions checks on all relevant parties and ensuring that all claims are in compliance with both internal and external regulatory requirements.
Keeping constant communication with management and underwriting teams.
Providing feedback on any visible claims trends.
Experience in handling medical related claims.
Have sound knowledge on both medical and claims practices.
Able to read and interpret medical reports.
Strong attention to detail and accuracy in data entry, and document management.
Critical thinking in evaluating authenticity of claims.
Familiarity with Microsoft Office Suite (Word, Excel, Outlook).
Effective communication skills, both written and verbal.
Proactive and have strong work ethics.
Willingness to learn and adapting to new processes and regulatory requirements.
Ability to work collaboratively in a team environment and support multiple tasks.
Professional attitude and discretion when handling confidential information.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Vipond Fire Protection, part of Chubb Fire & Security, now has an opportunity for a Sprinkler Design Engineer for a remote opportunity. Following recent business wins were keen to add to our Engineering team to manage fire protection systems locally to Bruntwood. This role can be office based, hybrid or remote depending on circumstances.