About the company Global healthcare insurance provider delivering specialized coverages worldwide.
About the job
- Interpret product structures, coverage terms, and entry forms to establish clear assessment parameters.
- Evaluate initial, recurring, and modified coverage requests for personal, family, and corporate global health plans.
- Examine medical records, existing health conditions, and relevant files to arrive at appropriate risk determinations.
- Consistently hit response-time benchmarks to maintain high customer satisfaction.
- Evaluate physician notes, diagnostic data, and clinical reports.
- Direct complicated applications from start to finish, managing follow-up requests and case escalations.
- Keep precise and organized logs of all risk assessments.
- Follow strict data privacy rules (including PDPA and GDPR) when handling sensitive personal and health records.
- Compile and deliver monthly team performance metrics, including completed volume, backlogs, and turnarounds.
- Facilitate a seamless transition of duties upon contract completion.
Skills and requirements
- Expertise in evaluating health profiles, pre-existing conditions, and international coverage applications.
- Ability to analyze complex clinical reports, lab results, and medical notes.
- Strong commitment to processing efficiency and meeting strict service level agreements.
- Thorough knowledge of privacy laws and data protection compliance (PDPA, GDPR).
- Strong organizational skills for maintaining case documentation and compiling operational reports.
To apply online please use the 'apply' function. (EA: 94C3609/ R24124496)
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