Cermati. com
fintech
InsuranceClaimOfficer
“Insurance Claim Officer at Cermati. com. Skills: insurance claims, insurance policy, claim procedure. Handle insurance recoupment and reconciliation works. communicate with providers and members via call and email for collection and explanation”
What You'll Achieve.
meet both financial/procedure accuracy and target on claims adjudication; Accountable on daily operations to meet productivity or service standards as defined by management in line with department and/or division
Industry & Context.
Good analysis
What They're Looking For.
Must Have
Bachelor Degree from any field, Minimum 2 years experience on handling insurance claims in broker insurance company, Computer literate and proficient in using Microsoft office, Detail oriented, Good analysis and communication skill
Nice to Have
Having experience in managing e-commerce insurance inquiries, Excellent knowledge of insurance policy and claim procedure, preferably handled shipping, travel, gadget, or retail insurance products
What You'll Do.
Handle insurance recoupment and reconciliation works
communicate with providers and members via call and email for collection and explanation
Follow up on manual claim and SOP strictly
adjudicate claims according to benefit policies
meet both financial/procedure accuracy and target on claims adjudication
Performed insurance claims assessment according to the actual situation
Review the approved claims to ensure the accuracy and made an adjustment as necessary
Generate daily claim process and all related document from the system
preparing claims documents to be sent to the payer
Investigate claims through liaison parties to determine the eligibility of the claims
Complete all daily call log and daily claim log
Prepare claim report on a regular basis
Accountable on daily operations to meet productivity or service standards as defined by management in line with department and/or division
How You'll Work.
Communication Scope
Good analysis and communication skill
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