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Medical Claims Manager

Job Title: Medical Claims Manager
Contract Type: Permanent
Location: Singapore, Singapore
Industry:
Salary: Negotiable
Start Date: ASAP
Reference: JN -112018-175984
Contact Name: Sebastian Ho
Contact Email: sho@argyllscott.sg
Job Published: January 04, 2019 09:53

Job Description

Job Responsibilities :

  • Responsible for the control, approval and management of high value and complex claims up to delegated authority
  • Assisting to provide medical advice or policy wording interpretation with regards to the company's product set globally
  • Oversight of the claims recommendation and decisions
  • Provide support in claims assessment in detecting Fraud, Waste and Abuse
  • Conduct regular audit on claims assessment and processes to ensure the business protocols are adhered to
  • Support on-going development of new business and product development
  • Training and coaching of staff on claims management, fraud and claims protocols
  • Training of Service Partner staff on claims management, fraud and claims protocols
  • Monitoring the case development of potential IEMA customers from first call request and assist in decision making for coverage

EA Registration Number: R1548599
Argyll Scott Singapore Pte Ltd. EA Licence Number: 16S8105