FIND YOUR BETTER AT AIAIf you believe in better, we'd love to hear from you.WE ARE LOOKING FOR .....Lead a team of claim assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company's requirements / guidelines
Roles & Responsibilities:
Lead a team of assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company's requirements / guidelines and committing to required hours of production daily by Intervening on difficult cases, GL decline and process high dollar cases
Handle training or scheduling for new onboarding staff
Participate in any process or system enhancement including projects within the department
Ensure quality audits and Live QA are done for the respective team members by also proving feedbacks
Pre-certify cases for issuance of guarantee letter in compliance to Company's requirements and guidelines assist the team target productivity benchmark while ensuring guarantee letters are issued accurately and correctly within targeted TAT and with authority assigned
Assist in the assignment and monitoring of all documents received in their respective team's queues
Assist in ensuring enough headcount as scheduled on the shift rotation monthly to cater for the GL process and manage team shrinkage
Ensure huddles and communications are carried out as per the agreed frequency
Ensure coaching and engagement activities are carried out for performance improvement and cost containment
Ensure that error rate in GL issuance is less that the target
Perform other responsibilities and duties periodically assigned by team manager to meet operational and/or other requirements
Minimum Job Requirements:
Education: Bachelor's Degree in medicine, biomedical, nursing, biotechnology, biology, physiotherapy, biochemistry, nursing or any other related field.
Years of Experience: Minimum 10 years of relevant experience, and 3 years in leading a team.
Technical Skills: guarantee letter issuance, healthcare delivery systems, hospital management, billing system.
Industry: Health Insurance, Third-Party Administrator, Hospitals.
Language: English and Bahasa Malaysia
Good communication and interpersonal skill.
Good team player.
Able to work with minimum supervision.
Able to work under pressure
