Claims Pre-approval, Manager

Job Responsibilities:

• Arrange resources to ensure smooth daily operation of pre-approval process and Network provider pre-approval hotline
• Supervise team members to resolve both operation and servicing issues encountered and monitor the performance of Pre-approval team
• Provide case management support on pre-approvals
• Review existing end-to-end Pre-approval process and streamline as necessary in order to ensure consistency, accuracy of the output and excellent customer experience
• Handle customers and agents enquiries and complaints regarding all activities in medical insurance policy operation process including Pre-approval, Letter of Guaranteed, Medical Service booking and advice, Claims and In/Outpatient arrangement

Requirements:

• University Degree in Business Studies, Nursing / Health Administration or relevant disciplines. Registered nurse is preferred
• Minimum 3-5 years relevant experience with at least 2 years in Insurance or Healthcare industry
• Strong interpersonal, communication and analytical skills
• Good team player and customer focused
• Self-motivated, willing to take on challenges and able to work under pressure

Eames Consulting is acting as an Employment Agency in relation to this vacancy.