Requirements:
• College degree or above. Majors in clinical medicine, nursing, pharmacy and medical information engineering (medicine) are preferred
• Working experience in insurance or social security is preferred
• Proficiency in operations of Microsoft Office software is required, especially Excel.
• Logical thinking and data sensitivity
• Serious and responsible
• Strong execution ability and sense of teamwork
Job Description:
• Familiar with processes of claims and industry rules
• Verify the operation of claims within the authorized scope
• Determine the reasonableness and medical necessity of the claims
• Ensure the quality and timeliness of the claims
• Solve claims service issues
• Propose suggestions for claims process and system optimization
• Promote the improvement of the companys claims service
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