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About the Role

Assists CHO Claims Head on managing overall claims performance and support

Roles and Responsibilities:

Assists on overall claims performance management and training in order to ensure claims service standard and risk management

1. Endorses and arbitrates the claim cases over BU authority, complex appealed cases and special cases within pre-set authority.

2. Coordinate with Medical Network/product/IT Dept. on drafting & maintaining standard Claims Rules & Service Procedure

3. Assists on monitoring all claims KPIs

4. Conducts and develop claims reports,analysis of claims trend and data 5. Provides technical training to claims assessors and technical support / training to related staffs.

6. Provides technical support during new product development

7. Claim data collect for claims analysis, product developme...