Claim Management Consultant
Core
Assess complex and high-value healthcare claims, resolve queries, and maintain customer records to ensure smooth claims journeys for members and providers.
Role type
Claims Management Consultant
Builds
Claims resolution and customer service for health insurance members and providers
Domain
Health insurance / Healthcare administration
Deliverable
client delivery
Required skills
claims assessment, claims management, health insurance, healthcare administration, regulatory compliance, process improvement, knowledge sharing, workload management, accuracy, attention to detail
Preferred skills
medical qualification, relevant insurance experience
Technologies
none stated
Responsibilities
Assess complex and high-value healthcare claims across Asia; take ownership of claims from start to finish; review and process customer and provider claims; maintain and update customer records; identify opportunities to improve processes; share knowledge and best practice with colleagues; participate in team meetings and one-to-one discussions
Seniority
Individual Contributor
