Claims Expert

4 days ago

Melbourne, Victoria, Australia beBeeClaims Full time $75,000 - $105,000
Claims Processing Specialist

We are seeking a skilled Claims Processing Specialist to join our team. As a Claims Processing Specialist, you will be responsible for validating and processing health insurance claims in accordance with Insurance Authority (IA) guidelines.

Your primary duties will include ensuring accurate data entry and documentation of claim details in the claims management system, supporting the review of claims for completeness and compliance with policy terms and conditions, coordinating with internal departments to gather missing documentation or information, and flagging potential discrepancies or anomalies for further review.

In addition, you will maintain confidentiality and data protection standards in handling sensitive health information, respond to basic inquiries from policyholders regarding claim status and documentation requirements, and ensure timely processing of claims to meet service level agreements (SLAs).

You will also assist in generating reports for internal tracking and audit purposes, stay updated on changes in claims procedures and regulatory requirements in Hong Kong, and support continuous improvement initiatives in claims processing workflows.

To succeed as a Claims Processing Specialist, you will require excellent communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.

Required Skills and Qualifications:

  • Bachelor's degree in Insurance, Business Administration, Healthcare Management, or related field.
  • Basic understanding of health insurance products and claims lifecycle.
  • Proficiency in Microsoft Office and claims management software.
  • Strong attention to detail and organizational skills.
  • Fluency in Cantonese, Mandarin, and English (speak, read, and write).

Benefits:

  • Fulfilling career opportunities in the healthcare industry.
  • Competitive salary and benefits package.
  • Ongoing training and professional development.
  • Collaborative and dynamic work environment.

Others:

Our company is committed to providing a safe and inclusive work environment that values diversity, equity, and inclusion. We offer flexible work arrangements and employee wellness programs to support our employees' physical and mental well-being.

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