Support the daily operations of the Pre-Assessment and Claims functions
Fixed hour working on Mon to Fri (Sat & Sun off)
1 year renewable contract
Job Description:
Support the daily operations of the Pre-Assessment and Claims functions, including medical pre-approval, claims adjudication, and administration, ensuring accuracy, efficiency, and compliance with internal guidelines and SOPs
Assess medical cases and evaluate pre-approval requests with sound judgment to ensure appropriate and timely decisions
Handle and resolve customer complaints and disputes professionally, including escalated or complex cases
Communicate with hospitals, clinics, and other healthcare providers to follow up on medical reports, treatment details, and case status to facilitate timely processing
Collaborate with internal stakeholders to deliver consistent, high-quality, and customer-oriented claims services
Provide guidance and on...
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