AIA
专员，团险理赔岗
Neural analysis suggests this role is
optimal for Mid+ candidates.
“专员，团险理赔岗 at AIA. Skills: Claims review, Medical claims, Fraud prevention. Complete claims information review. Ensure daily work meets service standards”
What You'll Achieve.
Achieve service standards; Meet business volume; Meet timeliness; Meet quality; Meet customer satisfaction
Industry & Context.
Efficient problem solving
What They're Looking For.
Must Have
Bachelor's degree, 3 years claims review experience, Medical or legal major, Customer orientation, Teamwork, Good communication skills, Efficient problem-solving skills
Nice to Have
Claims complaint handling experience, Anti-fraud special work experience
What You'll Do.
Complete claims information review
Ensure daily work meets service standards
Participate in medical claims audit rule formulation
Participate in medical claims difficult case discussion
Provide professional opinions
Participate in new colleague training
Accumulate claims review experience
Regularly share experience
Participate in medical claims audit
Implement anti-fraud measures
Summarize monthly work
Report to claims manager
How You'll Work.
Team & Collaboration
Work with new colleagues
Communication Scope
Good communication
Full Job Description
**At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.** _It’s about finding new ways to not only better people 's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ _And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business._ **Sound like you? Then read on.** **About the Role** 专员，团险理赔岗 (1) 完成理赔审核权限范围内的理赔信息及审核 (2) 确保日常工作达到服务标准，包括业务量、时效、品质及客户满意度 (3) 参与医疗险理赔审核操作规则的制定 (4) 参与医疗险疑难案件合议并提供专业意见 (5) 参与新同事带教指导，同时积累理赔审核经验，定期分享。 (6) 参与医疗险业务理赔审计及反欺诈实施 (7) 月度总结工作并向理赔经理汇报 岗位要求： • 大学本科以上学历，医学或法律专业 • 3年及以上理赔审核工作经历 • 有理赔投诉处理、反欺诈专项工作经验者优先 • 客户导向、具有团队合作精神和良好沟通能力 • 高效的问题解决能力 _Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._ _You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date._
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