Claims Assessment Manager
Manulife
- Ho Chi Minh City
- Permanent
- Full-time
- Delivering excellent judgment, prompt, accurate claim assessment and excellent service to Healthcare claims in accordance with Claims Department’s guidelines and procedures;
- Managing of TPA in claims assessment to meet Service Level Agreement (SLA), control quality of claim assessment;
- Proposing, initiating and managing operations of team to ensure the team’s activities smoothly executed in accordance with the Company principle and guidelines; monitoring quality and productivity of Claims staff to ensure fast and accurate assessment as Claims guidelines and cost efficiency. This team is setup as a foundation of Core Healthcare members to support building Healthcare services;
- Recruitment and providing training courses to team members to ensure the skills and knowledge developed effectively;
- Assessment claims as per prescribed authority limits; resolving complex claims and/or developing recommended solutions based on good judgment, initiative and technical skills;
- Building and maintaining excellent relationship with hospital, clinic networks and government offices, managing the Hospital/clinic and TPA/partner networks to provide excellent and effective service to customers;
- Duties to support Division targets and Company objectives as and when assigned by Line Manager;
- Cooperation with other Departments such as CS, Underwriting, IT, Agency... etc. to smoothly solve all claims-related issues and reach claims objectives.
- You obsess about customers, listen, engage and act for their benefit.
- You think big, with curiosity to discover ways to use your agile approach and enable business outcomes.
- You thrive in teams and enjoy getting things done together.
- You take ownership and build solutions, focusing on what matters.
- You do what is right, work with integrity and speak up.
- You share your humanity, helping us build a diverse and inclusive work environment for everyone.
- Education: University degree in economics or equivalent, preferably in insurance field. English intermediate is preferred.
- Minimum 2 years of healthcare insurance/services, medical service providers/partners development experiences
- Deep relationship with medical service providers/ partners at least 2 years.
- Having Microsoft office and teamwork.
- Having mature negotiation, stakeholder management and communication skill.
- Being careful, proactive, enthusiasm, hardworking, collaborative and honesty.
- Being able to work under high pressure.
- Good attitude and respect colleagues.
- A competitive salary and benefits packages.
- A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.
- A focus on growing your career path with us.
- Flexible work policies and strong work-life balance.
- Professional development and leadership opportunities.
- Values-first culture