Insurance Claim Officer

• Handle insurance recoupment and reconciliation works, communicate with providers and members via call and email for collection and explanation
• Follow up on manual claim and SOP strictly, adjudicate claims according to benefit policies, and meet both financial/procedure accuracy and target on claims adjudication
• Performed insurance claims assessment according to the actual situation
• Review the approved claims to ensure the accuracy and made an adjustment as necessary
• Generate daily claim process and all related document from the system and preparing claims documents to be sent to the payer
• Investigate claims through liaison parties to determine the eligibility of the claims
• Complete all daily call log and daily claim log
• Prepare claim report on a regular basis
• Accountable on daily operations to meet productivity or service standards as defined by management in line with department and/or division

Requirements

• Minimum 1-2 years experience on handling insurance claims in broker insurance company
• Having experience in managing e-commerce insurance inquiries
• Excellent knowledge of insurance policy and claim procedure, preferably handled shipping, travel, gadget, or retail insurance products
• Computer literate and proficient in using Microsoft office
• Detail oriented
• Good analysis and communication skill