Head of Claims - Healthcare

  COMPANY OVERVIEW
JAC's client is a fast-growing Insurtech start-up company.

JOB RESPONSIBILITIES
 

• Approve claim settlement within designated authority limit.
• Process claims for healthcare to meet committed TAT with partners.
• Provide constant review of our claim assessment guidelines to the team to ensure that it is complied with our client's claim’s philosophy and negotiate with insurers to ensure that the guidelines remain competitive.

• Provide strategic and expert guidance and consultation to staffs on complex cases.
• Maintain up-to-date knowledge of legislation, regulations and industry events related to insurance claims.
• Establish claims procedures against fraud risk and that maintain the confidentiality of claim records.

• Provide guidance to the team for overall development.
• Review business risk with the claims team.
• Work closely with the Management team to provide recommendations to improve product and pricing.
• Implement AI, OCR and ML for claim STP (straight-through-process)
• Cooperating with IT to build the claim system for automatizing claim process and enhancing claim services via SMS, website, and email.
• Handling other tasks as requested by the management.

JOB REQUIREMENT
 

• Competitive salary with an opportunity for significant bonus based on performance.
• Full participation in insurance by the law, private premium health insurance, annual health checkup.
• Participate in the well-being activities of the company: team-building activities, year-end party, company dinner meets etc.
• Work in a young and active environment in a fast-growing startup.

Apply online or feel free to contact me directly for more information about this opportunity. Due to the high volume of applicants, we regret to inform you that only shortlisted candidates will be notified. Thank you for your understanding.

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