Ho Chi Minh City, VN
3 days ago
DHS Claims Payment & Communication, Assistant

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About the Role

Report to: Manager, Healthcare Claims
Location: Ho Chi Minh
Function: Customer Office
Role: Individual Contributor

THE OPPORTUNITY

We are looking for an DHS Claims Payment & Communication, Assistant who is responsible for handling health insurance claims accurate and timely from receiving to closure, perform the tasks with customer centricity to ensure provide best customer experience. And proactively provide ideas for improving team performances.

ROLES AND RESPONSIBILITIES

Healthcare claim support, payment & communication (70%)

Receive and process insurance claims in accordance with company policies and proceduresConduct thorough review to decide eligibility of claims, including reviewing policy documents, medical records, and other relevant informationContact claimants & coordinate with adjudicators, medical providers, and other third-party vendors to obtain necessary/ additional information and documentationLiaise with Customer Service, Call Center, assessor, claimants, agents, and other stakeholders to provide updates on the status of claims through hotline & emailConduct all task of Claims Administration Procedure and backup other users as required, such as: register case, calculate claim value, prepare claim letter, create payment, resolve long outstanding payment, clear data on D365…

Healthcare claim assessment (20%)

Join assessment training sessions to learn about claim assessment for low value casesTake minor case assessment with level A of claim authority to process healthcare claim case from end to end

Others (10%)

Support to run report, provide feedback to enhance claim system and claims procedureOther tasks as assigned by line manager

JOB REQUIREMENTS

Bachelor's degree in business, finance or insurance.At least 2-3 years of experience in medical claim at an insurance company or a related field. Medical background is preferred.LOMA certificate.Customer service oriented.Excellent communication and interpersonal skills.Proficiency in English speaking and writing.Ability to work in a fast-paced environment with multiple priorities.Strong attention to detail and organizational skills.Proficiency in Microsoft Office Suite (Word, Excel, Outlook).Leadership Essentials: Determined Business Driver, Curious Learner.

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.

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