Principle Duties & Responsibilities:
- To manage team.
- To monitor and to ensure that that following processes in the team are in place, made 100% accurate and according to agreed SLA.
- To give advice regarding policy provision on guarantee cashless claim cases when consulted by team members.
- To give training and feedback regarding guaranteed cases/updates from another department to assessor team.
- To manage and ensure that the team is manned efficiently by carefully proposing shifts and schedules to the Assistant Manager and by closely monitoring attendance schedule.
- To ensure that the function adheres to policy conditions, by performing quality assurance in his/ her team activities and by giving regular coaching.
- To ensure that his/ her team are efficient and sufficiently manned, by performing workload and staffing balance in his/ her team every day.
- To ensure that problem prompts escalation to supervisor is real time, by giving prompt response to an escalation.
- To do regular reporting to supervisor in a timely manner
- To maintain clear communication and warm relationships to all related parties.
- To give a decision on approving / disapproving preauthorization requests and discharge planning requests or case monitoring approval requests or claim settlement requests.
- To ensure that all communications with customers, agents, partners, and other department staffs are made politely and correctly.
Job Specification:
Qualification
S1 (Bachelor degree)
Experience
2 years working experience
- 1-year relevant experience (Preauthorization process, Discharge planning, Case Monitoring and Cashless Claim Process).
Knowledge
Good understanding of preauthorization process or discharge planning or case monitoring or cashless claim process.
- Familiar with all processes within preauthorization, discharge planning, case monitoring and cashless claim settlement.