Sehat card project

تاریخ : مارچ ۲۰۱۷ - فروری ۲۰۱۹

<div><p>Provide daily support to claim staff on claim managing and filing activities.</p> <p>Ensure that claim team follows state regulations and standard operating procedures.</p> <p>Assist claim personnel in coverage investigation, liability analysis and settlement negotiation.</p> <p>Develop best practices to optimize claim processing quality.</p> <p>Evaluate professional skills of claim staffs and provide appropriate claim assignments to them.</p> <p>Establish expense reserves for claim investigations.</p> <p>Resolve coverage issues and approve coverage denials.</p> <p>Perform claim negotiation and confirm settlement amount.</p> <p>Document claim assessment and filing activities accurately.</p> <p>Assist in hiring and training new candidates in their job responsibilities.</p> <p>Monitor individual performance and ensure it meets expected quality and performance objectives.</p> <p>Develop professional development plans for employees to improve performance efficiency.</p> <p>Assist in employee performance evaluation, promotion, retention and termination activities.</p> <p>Direct report to Manager/Director</p> <p>Prepare outstanding report of all claims.</p></div>