Medical Claims Analyst - Fresh Grad: Bio/Chemi/Physio

Medical Claims Analyst - Fresh Grad: Bio/Chemi/Physio

Job Responsibilities:

• Process all Life / Accident and Health (A&H) / Major Claims / Corporate Solutions (CS) / Pre-Approval (PA) claims requests received as per stipulated requirements.
• Evaluate and capture all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim system.
• Ensure meeting individual quality, turnaround time and productivity benchmark.
• Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements.
• Prepares regular reporting to management on metrics relating to business, operations, risk, compliance, workforce, etc. or statutory authorities on regulatory metrics.
• Develop procedures for reporting, extract, collate and populate data to reporting template.
• Validate data accuracy and liaise with relevant parties to rectify data quality.

Job Requirements:

• Open to Fresh Graduate, experienced Medical Claims Assessor, experienced candidate from Lab / Nursing.
• A recognized tertiary Diploma / Degree in Biomedical, Biology, Chemistry, Pharmacist, Nutrition, Radiotherapy, Biotechnology, Physiotherapy, Sport Science, Food Science and Optometry.
• Fluent in spoken English & Mandarin. Ability to read and write in Mandarin is a must to support HK region.
• Self-motivated and customer orientated.
• Good dedication at work, good demeanor, willing to learn.
• Able to adapt desk-bound working environment, working shift including weekend on rotation basis & able to work overtime beyond normal office hour (including weekend & public holiday).
• The role is required to follow Hong Kong working calendar.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.