Claim Medical Advisor

**_Are you looking for a supportive, collaborative workplace with great teams and inspiring leaders? You’ve come to the right place. We’re looking for ambitious people who share our values and want to make every day better for people around the world. If this sounds like you, and the career below sounds exciting, we’d like to hear from you....

**Responsibility**: - To provide medical inquiries / investigations for insurance claims. - To provide medical advice / recommendation on claim decision. - To provide training related to medical terms. - To provide medical claims analysis for statistical report purpose. **Requirements**: - Doctor ( General Practitioner ), with 24 hours on call...

To provide medical inquiries / investigations for insurance claims. - To provide medical advice / recommendation on claim decision. - To provide training related to medical terms. - To provide medical claims analysis for statistical report purpose. - To maintain relationship with respective clients. - Doctor ( General Practitioner ), with 24 hours on call...

**OVERALL PURPOSE OF JOB** Responsible for providing our customers with a peerless service experience and claims journey by assessing and processing claims accurately and consistently. With a detailed understanding of the claims lifecycle from receipt to closure, the postholder will provide best-in-class customer service through high-quality correspondence...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

Claim Analyst Staff Qualifications: Male/ Female Minimum 1-year experience as a Claim Analyst in Insurance/ TPA company Excellent knowledge health insurance policy, health claims procedures and terminology Excellent knowledge on medical terminologies Strong analytical and inter-personal skill Good problem-solving skill Proficient in Ms....

Claim Analyst Staff Qualifications: Male/ Female Minimum 1-year experience as a Claim Analyst in Insurance/ TPA company Excellent knowledge health insurance policy, health claims procedures and terminology Excellent knowledge on medical terminologies Strong analytical and inter-personal skill Good problem-solving skill Proficient in Ms....

Aspen Medical seeks expressions of interest in IH Advisor for an upcoming opportunity for occupational and industrial health services. **Locations**: PNG, Fiji, Indonesia, Vanuatu, Malaysia, Vietnam, Philippines, Kiribati **Responsibilities may include; but not limited to**: - In support and in conjunction with senior IH staff provide guidance, support...

Analyze hospitalization and non-hospitalization claims based on policy provision and medical necessity, including investigation to hospital and/or treating doctors, if needed.Calculate hospitalization claims based on the provision policy and benefit plan of the insured.Improve product and system knowledge.Conduct proper claim process analysis based on the...

Aspen Medical seeks expressions of interest in Occupational Health Advisor (OHA) for an upcoming opportunity for occupational and industrial health services. **Locations**: PNG, Fiji, Indonesia, Vanuatu, Malaysia, Vietnam, Philippines, Kiribati **Responsibilities may include; but not limited to**: - The OHA will undertake business and stakeholder...

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...

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...

Perform day-to-day claims processing activities pertaining to GAR’s existing benefit programs, which includes, but not limited to: - Providing support and able to handle large claim volumes on medical, travel insurance, communication, leave passage, personal accident insurance, travel and expense claims. This includes verifying incoming claims and...

The SEA Regional Medical Advisor directs the operational function in medical affairs to achieve organizational objectives. Responsible for the design, development and implementation of programs related to educational, promotional and reporting materials for products related to Phase IIIb, Phase IV trials, solicited and non-solicited studies, publications,...

**Full Job Description** We are looking for a detail-oriented claims reconciliation specialist to perform above and beyond data entry, and payment posting, verify financial and payer information, as well as patient demographics and research rejections, identify documentation errors, and coordinate correction. Likewise has a strong sense of urgency leading to...

**Full Job Description** We are looking for a detail-oriented claims reconciliation specialist to perform above and beyond data entry, and payment posting, verify financial and payer information, as well as patient demographics and research rejections, identify documentation errors, and coordinate correction. Likewise has a strong sense of urgency leading to...

Document verification, analyze and entry the claims if the TAT over the target Direct approval as claim processor’s authority limit Send the claim to direct Supervisor (AssMan) to be checked and approved if the authority over staff level Make revision of the claim which have been corrected from their Supervisor Checked and approved claims as SPV's...

Required Skills and Qualifications:To be successful in this role, you will need:A medical degree or Bachelor's degree in Healthcare AdministrationMinimum 7-10 years of experience in individual claims, healthcare claims management, and provider relations, claims investigationStrong analytical and problem-solving abilitiesExcellent communication and...

FIND YOUR 'BETTER' AT AIA - We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us._ - We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can...