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Specialist, Claims

Company

Manulife(Cambodia) PLC   

type

Public Limited Company

Function

Insurance

employees

Location

Phnom Penh

Level

Middle

Term

Full Time

Year of Exp.

3

Function

Bank/Insurance

Hiring

Industry

Insurance

Salary

Negotiable

Qualification

Bachelor Degree

Sex

Male/Female

Language

English-- Good   

Age

~

Location

Phnom Penh;

Publish Date

Nov-08-2019

Closing Date

Nov-17-2019

Job Description

  Key Responsibilities:
• Processes all types of medical claims and adjusts medical disputed claims (Professional and Facility) according to department, contract, and regulatory requirements.
• Implement the administration of documentation to complex claims by conducting investigations, analyzing factual information, interpreting insurance policies and applying legal and technical knowledge to independently resolve claims files in a timely manner
• Support claims workflow efficiency by accurately documenting portfolio progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge to ensure achievement of individual and department objectives
• Verifies and interprets information in all contracts to resolve issues, trains analysts, monitors and support claims functions as needed. Performs payment and audit on all types of claims with professional and facility according to department goal, contract, and regulatory requirements
• Identifies individual customer needs and take appropriate steps to satisfy those needs.
• Troubleshoots problem to resolve claims issues or systematic issues.
• Analyzes work processes, identifies claims area needing improvements and initiates necessary steps to make changes, participates in the continuous quality improvement of claims service
• Comply company/departmental procedures for claims processing, claim adjudication, approval or denials and references Policies and Procedures, contracts, and other reference materials to assure complete and accurate decisions.

Job Requirements

  Qualification:
• Bachelor Degree or equivalent certificate (preferred medical background).
• 3 years working experience in insurance industry, especially medical claim experience.
• Computer literate, knowledge of Microsoft Office.
• Excellent customer service and telephone skills, excellent verbal and written communication skills
• Knowledge of all types of professional claims, ability to research and verify claims issues.
• Knowledge of compliance related to the processing of claims.

Interested applicants meeting the above requirements should submit their CVs, covering letters and National ID card by going to this link: http://www.manulife.com.kh/Corporate-Careers-Career-Possibilities and follow each of its step.
For more details please contact Ms. Kimleng Moul via kimleng_moul@manulife.com. Or Ms. Choury Chim via Choury_Chim@manulife.com. Application should be submitted before 20th November 2019. Only shortlisted candidates will be contacted.

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Contact Information

Contact Person

Ms. Kimleng Moul

Phone

023 965 965

Email

kimleng_moul@manulife.com

Website

http://www.manulife.com.kh

Address

104 Russian Federation Blvd | Phnom Penh, Phnom Penh

Company Profile

Manulife is a leading Canada-based financial services group with principal operations in Asia, Canada
and the United States. Clients look to Manulife for strong, reliable, trustworthy and forward-thinking
solutions for their most significant financial decisions. Our international network of employees, agents
and distribution partners offers financial protection and wealth management products and services to
millions of clients. We also provide asset management services to institutional customers. At the end of
June 2016, we had US$718 billion in assets under management and administration, and in the previous 12
months we made more than US25.4 billion in benefits, interest and other payments to our customers. Our
group of companies operates as Manulife in Canada and Asia and primarily as John Hancock in the
United States. Manulife Financial Corporation trades as 'MFC' on the TSX, NYSE and PSE, and under '945' on the SEHK.
We are committed to be an equal opportunity employer and welcome applications from all suitably
qualified persons regardless of their race, sex, disability, religion/belief, sexual orientation or age”.

Service hot line :

023 969 088 / 023 91 90 86 / 023 91 90 87 / 02391 90 89

Operating Hours : Mon-Fri (8:00 am to 5:00 pm)

Email : jobs@camhr.com.kh

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