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Manager, Data Analytics
3 months ago
Discover the GREAT in your career.
As a LIFE company, our customers are at the heart of all that we do.
Being one of Asia's leading insurer for over a century, we have built a long-lasting legacy of trust with our customers over many generations.
At the foundation of this trust is
Integrity, Initiative, and Involvement - from the way we treat every customer relationship with honesty and transparency, to our proactive approach of delivering the best possible solutions in both life and general insurance.
Integrity, Initiative, and Involvement is what guides us. It is what makes us do the right thing, take the lead, and choose 'we' over 'me'. Our mission is to make life great for our customers because we understand what matters most to them, and we know how to help them protect it.
If you are looking to grow in an exciting career filled with opportunities and potential, we are seeking a professional to join our team as
Manager, Data Analytics & Product Pricing.
Job Purpose
To provide medical consultation and opinion in regards of claims / GL / investigations / underwriting and to propose measures that would effectively reduce or contain healthcare cost, without compromising healthcare quality and needs claim.
The Role
- To analyze and monitor the claims experiences of various medical plans
- To review abnormal medical claims for suspected waste & abuse incidents
- To provide insights on outpatient claims and develop its' causes and effects relationships with impatient treatments.
- To provide medical consultation and opinion in regards of admissibility of medical claims, fulfilment of policy contract definition in medical claims, investigation and underwriting decisions, ad hoc medical consultation and opinion in product development
- To involve in projects and initiatives for departmental process improvement.
- Champ culture and conduct behavioral expectations within the Department / Division
- Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
- Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
- Highlights any potential concerns /risks and proactively shares best risk management practices.
The Person
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Qualifications: Licensed practicing physician in good standing in medical community, preferably with experience / specialty in internal medicine, orthopaedic, surgical and paediatrics. Postgraduate qualification in occupational health and family medicine would be an added advantage. Experience in a public / private hospital is essential.
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Working Experience:Minimum 5 years working experience in healthcare and/or insurance.
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Key Skills: Sound medical knowledge; knowledge of healthcare billing and medical terminology; strong business acumen with communication, analytical, problem solving, documentation and organization skills; strong negotiation and public relation skills.
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Key knowledge: Knowledge in medical terminology, clinical knowledge; Good knowledge in current healthcare delivery systems and hospital, patient management and billing system; product and contractual wordings knowledge.
- High level of integrity, takes accountability of work and good attitude over teamwork.
- Takes initiative to improve current state of things and adaptable to embrace new changes.
About Great Eastern
Established in 1908, Great Eastern places customers at the heart of everything we do.
Our legacy extends beyond our products and services to our culture, which is defined by our core values and how we work.
As champions of Integrity, Initiative and Involvement, our core values act as a compass, guiding and inspiring us to embrace the behaviours associated with each value, upholding our promise to our customers - to continue doing our best for them in a sustainable manner.
We embrace inclusivity, giving all employees an equal opportunity to shine and play their role in exploring possibilities to deliver innovative insurance solutions.
Our sustainability approach around environmental, social, and governance (ESG) considerations play a key role in every business decision we make.
We are committed to being a sustainability-driven company to achieve a low-carbon economy by managing the environmental footprint of our operations and incorporating ESG considerations in our investment portfolios; improving people's lives by actively helping customers live healthier, better and longer; and drive responsible business practices through material ESG risk management.
Job ID 230001WJ