FIND YOUR 'BETTER' AT Blue Cross
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 support even more people - including our own - to live Healthier, Longer, Better Lives.
If you believe in better, we’d love to hear from you.
About the Role
Handle and approve medical claims based on delegated claims authority in accordance with the established procedures and guidelines;
Duties / Accountabilities:
- Handle provider claims according to internal guidelines
- Handle enquires from internal & external customers, provide solutions and information within standard turnaround time
- Manage dispute and complaint related to network service in accordance with the established procedures and guidelines
- Maintain update of network system and its administration
- Identify and investigate suspicious / fraudulent claims including escalation to superior(s)
- Assist in system enhancement and workflow revision to meet our customers’ needs and services standards
- Backup other teams in reaching Company’s services standard;
- Handle ad-hoc duties as assigned by superior(s)
Requestment:
- Diploma holder or above in any disciplines
- Minimum 2 years relevant experience in medical claims, customer services or complaint management
- Professional qualification in FLMI, FLHC, etc. will be an advantage
- Familiar with operation of medical claims and healthcare network providers
- Good communication and interpersonal skills
- Detail-minded with strong sense of responsibilities and well-organized
- Flexible and customer-oriented
- Able to handle multi-task and work under pressure in a fast paced environment
- Good command of both written and spoken English and Chinese
- Proficient in MS Office and Chinese Word Processing
Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
