Key Responsibilities: • Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements. • Implement the administration of documentation to complex claims by conducting investigations, analyzing factual information, interpreting insurance policies and applying legal and technical knowledge to independently resolve claims files in a timely manner • 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 • Verifies and interprets information in all contracts to resolve issues, trains analysts, monitors and support claims functions as needed. Performs payment and audit on all types of claims with professional and facility according to department goal, contract, and regulatory requirements • Identifies individual customer needs and take appropriate steps to satisfy those needs. • Troubleshoots problem to resolve claims issues or systematic issues. • Analyzes work processes, identifies claims area needing improvements and initiates necessary steps to make changes, participates in the continuous quality improvement of claims service • Comply company/departmental procedures for claims processing, claim adjudication, approval or denials and references Policies and Procedures, contracts, and other reference materials to assure complete and accurate decisions.

Qualification: • Bachelor Degree or equivalent certificate (preferred medical background). • 3 years working experience in insurance industry, especially medical claim experience. • Computer literate, knowledge of Microsoft Office. • 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. 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 kimleng_moul@manulife.com. Or Ms. Choury Chim via Choury_Chim@manulife.com. Application should be submitted before 10th April 2020. Only shortlisted candidates will be contacted.

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