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The Job:

Review and assess local and overseas medical and non-medical claims within policy terms and conditions and claims authority limit within stipulated turnaround time.
Review and approve requests within policy terms and conditions and benchmark.
Coordinate with medical providers, policyholders, and other stakeholders for additional information when necessary.
Handle follow-ups on claims with unsuccessful bank transfers and CPF failures, such as voiding claims, creating refund entry and reprocessing of claims.
Request and follow-up on the creation of insured members and medical service providers for affected claims

Education

6 months Contract Analyst, Group Claims NJA