Job Description :
Are you looking for unlimited opportunities to develop and succeed? With work that challenges and makes a difference, within a flexible and supportive environment, we can help our customers achieve their dreams and aspirations.
The Operations department for claims processing is responsible in claims adjudication, receiving and ensuring that the clients’ need are well taken cared of.
The job purpose is to ensure that the processors are able to meet individual and team goals in line with the Service Level Agreement (SLA).
Eligibility Requirements : (if internal application)
Open to all MBPS Associates with one year tenure in their current position.
Candidate must meet the qualifications of the position.
Candidate must meet job expectations and pass all performance metrics in his / her current unit.
Candidate should not have any attendance issues or any disciplinary action.
Key Accountabilities :
Process and capture information to system according to established methods and procedures
Handles inpatient claims worldwide (mainly from Hong Kong, Macau and Mainland China)
Issues decline / follow-up to the clients for outstanding information and clarifications
Practice good judgment in approving, make necessary recommendation and declining medical claims of clients
Consistently attain the service level set by the Company
Assist colleagues and other teams in their production work upon request
Setup cases and identify discrepancies and irregularities during processing
Suggest ways on how to improve the current process and team metrics
Handle multiple tasks in a fast-paced environment
Constantly increase the number of knowledgeable functions handled by the team
Such other duties and functions as assigned by Supervisor
Minimum Skills Requirement to Hire :
Minimum Qualifications :
Completed a Bachelor’s Degree in related field
Pass the Chinese Exam Score with at least 61-75 out of 100 items
Basic life insurance concept such as LOMA 280
Knowledge in claims processing
Minimum keyboard typing skills of 32 words per minute
Ability to use desktop computer system
Lotus Notes knowledge
Knowledge of MS Applications (Word, Excel & MS Powerpoint)
Chinese literate including reading comprehension and typing (this is already indicated and will be verified in minimum qualifications)
Good written and verbal communication skills (English & Chinese)
Ability to express ideas clearly and concisely in writing letters to clients and agents