Bilingual Mandarin Analyst

2 days ago

Manila, National Capital Region, Philippines Siegen HR Solutions Full time ₱300,000 - ₱500,000 per year


KEY RESPONSIBILITIES:
  • Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented
  • Assess medical appropriateness of claims submitted, and adjust claims as needed
  • Pay all covered claims accurately and timely
  • Execute on all client and provider SLA agreements
  • Attain individual and team quality and productivity targets
  • Manage both new claims and open claims equality and maintains decision turnaround times (TAT)
  • Understand account Operations and Corporate Compliance, Polices and Procedures and best practices
  • Stay abreast of ongoing trainings associated with role and business unit objectives

TO QUALIFY:
  • Can speak and understand Chinese/Mandarin language
  • Excellent attention to detail, quality, and accuracy
  • Excellent organizational, workload, and time management skills
  • Able to work within tight timeframes to achieve challenging objectives and TATs
  • Must have the ability to work with a sense of urgency and be a self-starter with a customer-focused mindset
  • Must be technically savvy with the ability to toggle between multiple applications and/or computer monitors simultaneously
  • Proficient with MS Office applications (Word, Outlook)
  • Strong written communication skills demonstrated in previous work experience
  • Experience in effectively meeting/exceeding individual professional expectations and team goals
  • Demonstrated analytical and basic math skills

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