We are looking for Claims Specialist to support Claims Manager assess healthcare claims to comply with Claims guidelines. In addition, you contribute as Subject Matter Expert in projects relating to enhance healthcare services.
You shall work with dynamic, professional, and strong core values organization.
- Responsibility:
- Supporting Manager to deliver excellent judgment, prompt, accurate claim assessment and excellent service to Health claims in accordance with Claims Departments guidelines and procedures.
- Ensuring TPAs claims assessment to meet Service Level Agreement (SLA);
- Working with Manager in claim services, preparation of Healthcare claims guidelines and procedures;
- Contribution as Subject Matter Expert in projects relating to enhance healthcare services;
- Supporting Manager to assess Healthcare claims as per prescribed authority limits; resolving complex claims and/or developing recommended solutions based on good judgment, initiative and technical skills;
- Collaboration with cross departments/functions to smoothly solve all claims-related issues and reach claims objectives;
- Duties to support Department targets and Company objectives as and when assigned by Team leader/Line Manager.
- Be in-charge of regular and ad-hoc reports for Claims Team, Claims VSO and COO.
- Take part in making user requirements for new products and testing them to make sure there are adequate features in the system for Claims users to use.
- Join projects of Claims CXT as SME role.
- How will you create impact
This role reports to Head of Health Claims. You are Claims Assessment Specialist to support team leader to assess healthcare claims for prompt, accurate assessment and excellent services to customers as well as to join as a Subject Matter Expert in health projects.
- When you join our team:
- Well empower you to learn and grow the career you want.
- Well recognize and support you in a flexible environment where well-being and inclusion are more than just words.
- As part of our global team, well support you in shaping the future you want to see.
About Manulife And John Hancock
Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.
Manulife is an Equal Opportunity Employer
At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.
It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact [Confidential Information].
Working Arrangement
In Office
