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Senior Specialist, Claims

Company Manulife(Cambodia) PLC
Posted 13-01-2020
Closing date 22-01-2020
Term
Category Medical/Health
Location Phnom Penh
Salary USD -- USD
Year of Experience
Number of hire
Sex Male/Female
Job level Middle
Job Responsibilities:
Key Responsibilities:
• Processes all types of claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements.
• Implement the administration to complex claims by conducting thorough investigations, analyzing factual information, interpreting insurance policies and applying legal and technical knowledge to independently resolve claims files in a timely manner.
• Complete claims settlements by collaborating with subject matter experts and involved parties, recommending appropriate decision for assigned claims and communicating solutions to mitigate risks and coverage conflicts and achieve cost effective outcomes
• Inform internal/external to senior management on claims resolution processes by summarizing factual information, reporting scope, specialized exposures and accurately managing documentation of assigned claims to ensure effective communication of current state for claims portfolio.
• Facilitate strong working relationships by communicating across the organization and reporting on approved, cost-effective claims strategies to ensure understanding of claims operations and encourage a collaborative approach to enhancing the business
• Support claims workflow efficiency by accurately documenting portfolio progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge to ensure achievement of individual and department objectives
• Participate in claims staff on boarding by sharing technical knowledge, recommending solutions to complex, escalated issues, training on department processes and procedures and demonstrating application of best practices to assist in development of new team members
• Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value "can do" people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
• Adopt company values in personal work behaviors, decision-making, contributions and interpersonal interactions; manage own career development by soliciting feedback and valuing other perspectives
Job Requirements:
Qualification:
• Medical doctor degree or equivalent certificate.
• Over 3-5 years working experience in insurance industry, especially medical claim experience.
• Excellent customer service and telephone skills, excellent verbal and written communication skills
• Knowledge of all types of professional claims, ability to research and verify claims issues.
• Knowledge of compliance related to the processing of claims.
• Computer literate, knowledge of Microsoft Office

Interested applicants meeting the above requirements should submit their CVs, covering letters and National ID card by going to this link: http://www.manulife.com.kh/Corporate-Careers-Career-Possibilities and follow each of its step.
For more details please contact Ms. Kimleng Moul via [email protected] Or Ms. Choury Chim via [email protected] Application should be submitted before 22nd January 2020. Only shortlisted candidates will be contacted.

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Contacts:
Contact Person
Address 104 Russian Federation Blvd | Phnom Penh, Phnom Penh
Phone 023 965 965
Email [email protected]