Summary:

The Claims Management – Assistant Manager is responsible to supervise the processing/documents handling operations for efficient claims monitoring and responding to clients according to set quality & performance standards of the Claims Management department. The incumbent is also responsible in ensuring flexibility in handling loads and changes in the department, help the team to be client-oriented to deliver quality actions, promote productivity and efficiency

Main Tasks:

• Assist the Claims Management – Manager in overall supervision of the Claims Management department and monitoring department performance; plus conducting unit meetings on behalf of the manager.
• Assist the Manager in staff appraisal using company performance appraisal tool & ensure unit performs its task to have the medical ethics respected at all times.
• Contributes in developing, updating and implementing policies and procedures to suit the functional objective of the business.
• Responsible for the implementation of the core processes with accountability for the overall performance of the department.
• Suggest updates in policies and procedures within the department to be followed by the staff members.
• Ensures tasks of the team member requirements are fulfilled according to operational measures.
• Monitors & ensures process claims targets and reporting targets are achieved.
• Ensures high level of quality in daily claims processing for maximum medical data collection.
• Monitors and follow-up on the performance of the department based on agreed performance targets.
• Ensures high quality customer service is provided at all times by developing quality standards.
• Ensures that communication requirements are being adhered to in a timely and professional manner.
• Takes responsibility of any task/project assigned by the manager.
• Ensures employees follow company ethics/values at all times.
• Ensures accurate and timely claims processing and documents handling.
• Ensures proper evaluation of processing/documents handling, releasing/tracking and management of cases.
• Manages targets and quality check of data & efficiency of the staff members.
• Assist the Claims Management – Manager in obtaining additional information needed for the accurate and timely claims processing/documents handling

Minimum Requirements:

• Bachelor’s degree; MBBS required.
• 3+ years of medical practical experience (reputable insurance provider, broker or a TPA experience a plus); Knowledge of overall insurance industry practices is a plus ;
• Physically fit to carry out duties
• Legally permitted to work in the country of operations.
• Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills