About this role
Handle insurance recoupment and reconciliation works, communicate with providers and members via call and email for collection and explanationFollow up on manual claim and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and target on claims adjudicationPerformed insurance claims assessment according to the actual situationReview the approved claims to ensure the accuracy and made an adjustment as necessaryGenerate daily claim process and all related document from the system and preparing claims documents to be sent to the payerInvestigate claims through liaison parties to determine the eligibility of the claimsComplete all daily call log and daily claim logPrepare claim report on a regular basisAccountable on daily operations to meet productivity or service standards as defined by management in line with department and/or division Bachelor Degree from any fieldMinimum 2 years experience on handling insurance claims in broker insurance companyHaving experience in managing e-commerce insurance inquiriesExcellent knowledge of insurance policy and claim procedure, preferably handled shipping, travel, gadget, or retail insurance products Computer literate and proficient in using Microsoft officeDetail orientedGood analysis and communication skill