Lowongan Kerja Claim Benefit Specialist DKI Jakarta January 2017 InterGlobal Ltd (Singapore Branch)

Lowongan kerja Claim Benefit Specialist DKI Jakarta InterGlobal Ltd (Singapore Branch) January 2017 semua Jurusan di lokerjobs.com , Berikut informasi lebih detail mengenai Loker 2017 Claim Benefit Specialist DKI Jakarta InterGlobal Ltd (Singapore Branch) Terbaru.

Here at Aetna, we are building a healthier world by making health care easy, affordable and all about you. Follow our LinkedIn page for company news, industry commentary, jobs, and more.

Founded in 1853 in Hartford, CT, Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources to help them make better decisions about their health care.

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At Aetna, we put people at the center of everything we do, making decisions based on integrity, caring, excellence and inspiration. “Our core values guide us to make a difference in your world and throughout the world we reach. I couldn’t be any more proud of the work our people do. Investing in our employees and their success is a cornerstone for building a healthier world.” -- Mark T. Bertolini, CEO and Chairman of Aetna.

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Claim Benefit Specialist

  • Analyzes and approves claims.
  • Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process.
  • Coordinates responses for phone inquiries and written correspondence related to claim processing issues
  • Routes and triages High claims and seeks support and advice from designated Specialists. (Senior Claim Benefits Specialist).
  • Proofs claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis and pre-coding requirements.
  • Investigate claims for possible abuse and fraud.
  • May facilitate training when considered topic subject matter expert.
  • In accordance with prescribed operational guidelines, manages claims on desk, route/queues, and all systems within specified turn-around-time parameters.
  • Utilizes all applicable system functions available ensuring accurate and timely claim processing service (i.e., use of all documented resources)
  • Escalate unresolved claims complaints and high costs claims to the claims supervisor for guidance
  • Continually work to improve best practices procedures and standards.
  • Ensures compliance with requirements of regional compliance authority/industry regulator.
  • Adheres to international privacy policies, practices and procedures.

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Jika Anda berminat mendaftar Lowongan Kerja Claim Benefit Specialist DKI Jakarta InterGlobal Ltd (Singapore Branch) pada tanggal 07-Jan-17 segera siapkan persyaratan/berkas dan dokumen yang dibutuhkan untuk mendaftar. Silakan klik tombol "Kirim Lamaran" di bawah ini. Jika belum menemukan lowongan kerja yang anda cari, silahkan ketik lowongan kerja dikotak pencarian dibawah ini dan baca juga lowongan kerja yang lainnya.


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