Claim Assessor

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What We Can Offer

Medical Insurance
Paid Leave
Partial Work from home

Job Description

Medical claims processing:

Check eligibility of the insured and dependents.
Check premium status when necessary.
Review banking information and currency desired.
Check claim as per policy requirements as per contract provisions.
Accurately assigns appropriate medical code corresponding to service received.
Updates data base with accurate information to issue a payment notice.
Forwards payment notices to Team Lead for validation.


Other administrative tasks:

Sends pre-approval letters with the approval of the consulting physician or dentist, as required.
Forwards required documents to Case Management Specialist, as per set guidelines.
Customer care by telephone, regular mail, e-mail.
Follows appropriate procedures for forwarding of difficult cases
Communication with hosputal network
Any other tasks given by the Claims Manager.
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Job Requirements

2-3 years of relevant work experience
Has excellent communication skills in Vietnamese and English
Detail-oriented
Has Health Insurance Knowledge
Sound judgement and able to analyze and prioritize assignments
Good organizational skills
High tolerance to pressure
High customer-oriented mind

Job Locations

Unit 152, 22nd floor, E.Town Central Building 11 Doan Van Bo, Ward 12, District 4

About us

Brilliantly simple health insurance solutions for discerning global residents. Enjoy brighter, and better living with Luma.

Our mission is to ensure our members live healthier, longer lives by providing them brilliantly simple health insurance plans.

Our values are fairness, caring, proactive, dependable and diverse. Moreover, our multi-disciplinary staff of expat and local health insurance specialists come from a variety of backgrounds with global experience.

For more information, please visit our website at www.lumahealth.com

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TUYỂN SINH THẠC SĨ QUẢN TRỊ THƯƠNG MẠI QUỐC TẾ - ĐẠI HỌC NICE SOPHIA ANTIPOLIS (PHÁP)

TUYỂN SINH THẠC SĨ QUẢN TRỊ THƯƠNG MẠI QUỐC TẾ - ĐẠI HỌC NICE SOPHIA ANTIPOLIS (PHÁP)

Chỉ phỏng vấn đầu vào với thời gian học linh động, phù hợp với học viên vừa học vừa làm.

Bằng được công nhận bởi Bộ GD&ĐT Việt Nam do Đại học Nice – Sophia Antipolis (Pháp) cấp có giá trị toàn cầu.

Cơ hội tìm kiếm học bổng Tiến sĩ tại Anh, Pháp và các nước khác dễ dàng hơn.