Claims Processor- Usp Claims Management Specialist

Job Description - Must understand the entire end to end USP claims management process and ability to perform claims process as per process documentation. - To demonstrate problem solving capabilities in resolving issues and providing solutions. - Liaise with vendor, MCMC, auditor and cross functional teams such as USP management team and Network teams. - To...

The purpose of the Claims Adjuster role is to settle claims within authority as efficiently as is possible. This will include the technical assessment of claims and the formation and implementation of strategies, to bring the claims to swift resolution. The role will involve adherence with all operational procedures and adopting a settlement strategy. The...

The purpose of the Claims Adjuster role is to settle claims within authority as efficiently as is possible. This will include the technical assessment of claims and the formation and implementation of strategies, to bring the claims to swift resolution. The role will involve adherence with all operational procedures and adopting a settlement strategy. The...

Role SummaryTo support the Finance team in reviewing, validating, and reclassifying prior-period Universal Service Provision (USP) claim transactions to ensure proper accounting treatment and alignment with the General Ledger (GL). The role requires detailed investigation of project tagging, claim documentation, and reconciliation between working files and...

**Role Summary** To support the Finance team in reviewing, validating, and reclassifying prior-period Universal Service Provision (USP) claim transactions to ensure proper accounting treatment and alignment with the General Ledger (GL). The role requires detailed investigation of project tagging, claim documentation, and reconciliation between working files...

**Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for...

**KEY TASKS & ACCOUNTABILITIES** - Processing SP claims by assessing and keying in hospital invoices into CIS with reference to the client’s policy (SOB). Ensuring final diagnosis / consultation / medications are correct with supporting documents. - Follow up with hospitals for unanswered queries. - To adhere to the Company's procedure in accordance with...

Job DescriptionSummaryThe role of a Claims Executive is to process all the submission claims received from members, corporates or hospital within the turnaround time, to clarify information and to provide solutions and/or alternatives to members, corporates and hospital. Ensure to process the claims and GL related accurately and correctly within the targeted...

**Requisition ID**:9339 Our CommitmentAt Suntory, we recognize that diverse knowledge, perspectives, and backgrounds contribute to our collective success. We are committed to fostering a diverse, equitable, and inclusive workplace, where all individuals have a sense of belonging and can bring their whole selves to work every day, regardless of race, color,...

**Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for...