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Health Claims Officer at AXA Insurance dac

, , -

Full Time

Start Date

Immediate

Expiry Date

03 Feb, 26

Salary

0.0

Posted On

05 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Leadership Skills, Customer Centric, Product Knowledge, Claims Processing, Critical Thinking, Medical Knowledge, Healthcare Operations, MS Office Applications, Analytical Skills, Interpersonal Skills

Industry

Insurance

Description

Job Description: Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service. Will supervise and lead the Reimbursement Team in the end-to-end claims processing. Executes strategies and action plans of the department according to goals ( KPI ) for the year Monitors and ensures prompt resolution on escalated cases including complaints. Approves escalated cases within the assigned authority limit Monitors the day-to-day performance of the team, including the daily productivity of the processors through WIP. Conducts spot audit on claims processed by the team Provides coaching and mentoring to the team to ensure compliance on the claims processes and policies Submission of end of day prod report and other report that may be required by the head Performs other tasks as may be assigned from time to time related to the assigned tasks. · Education: Allied Medical Graduate/ Professional · Experience Required: - At least 3 years of related work experience (Insurance / HMO) in a supervisor capacity - With vast experience in customer service - With exposure to BPO- advantage · Competencies: - Core: Leadership Skills, Customer Centric, Product Knowledge, Claims Processing, Critical Thinking - Technical: Medical Knowledge in Healthcare operations - Universal: Knowledge of MS Office applications - Critical Traits: Good analytical Skills, Good interpersonal skills

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Responsibilities

The Health Claims Officer is responsible for leading the Reimbursement Team in efficient end-to-end claims processing while ensuring excellent customer service. They monitor team performance, resolve escalated cases, and provide coaching to ensure compliance with claims processes and policies.