claims excellence

Overview

Who you'll be working for

The client is a BPO handling a HK medical insurance project.

What requirements you'll need to be eligible

medical insurance background

1-4 years of experience

What you'll be doing on the job

Set and maintain claims handling standards, guidelines, and best practices.

Make sure claims processes are consistent, efficient, and aligned across teams (including offshore teams).

Monitor key performance metrics like turnaround time (TAT), error rates, and productivity.

Identify performance gaps, trends, and risks in claims operations.

Step in to investigate and resolve major issues or breaches in service standards.

Conduct quality assurance reviews and audits to ensure claims are handled correctly.

Provide feedback and recommendations to improve accuracy and service quality.