Claim officer
Requirements:
Bachelor’s degree or above. Preferred majors are clinical medicine, nursing, pharmaceutics or biological sciences.
Working experience in insurance or medical-related industry is a plus
Logical thinking and data sensitivity
Serious and responsible
Strong execution ability and sense of teamwork
Job Description:
Review medical claims within authorized scope
Determine the reasonableness and medical necessity of the claims
Ensure the quality and timeliness of the claims
Claim investigation
Propose suggestions for claims process and system optimization
Promote the improvement of the companys claims service
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