Medical claim

• Jan 2019 - Present

Claims Medical

• Feb 2017 - Dec 2017

1. Monitor claim analysis process to make sure it is done accurately and appropriately along with processing claim based on standards sets by benefit the company. 2. Reviews and analysis claims loss, expense reserves maintains regular report. 3. Verifying and updating information on submitted claims. 4. Coordinate with hospitals/clinics/physicians who care for the claimants to further acknowledge about claimant’s medical condition. 5.contacting the hospitas/clinics/pharmacies, especially those related to official receipt and billing detail issued by the hospitals /clinics/pharmacies so the claim process can run smoothly and payment made appropriately. 6.coordinate processing a claim based on standards Benefit set by company. 7. Communicate and coordinate with servicing team to solve claim problems or communicate di rectly to clients. 8. Monitoring the process of pending and decline claims along with its reasons. 9. Provide information to Department Head. 1o. Checking the claim in accordance with the benefits and provide reports claim that payment will be made by finance. Show less

Medical Coordinator Claim

• Sep 2015 - Oct 2016

1. Monitor claim incoming from provider. 2. Monitor claim registration incoming. 3. Monitor claim analysis process to make sure it is done accurately and appropriately along with processing claim based on standards sets by benefit the company. 4. Reviews and analysis claims loss, expense reserves maintains regular report. 5. Verifying and updating information on submitted claims. 6. Coordinate with hospitals/clinics/physicians who care for the claimants to further acknowledge about claimant’s medical condition. 7. Contacting the hospitas/clinics/pharmacies, especially those related to official receipt and billing detail issued by the hospitals /clinics/pharmacies so the claim process can run smoothly and payment made appropriately. 8. Coordinate processing a claim based on standards Benefit set by company. 9. Communicate and coordinate with servicing team to solve claim problems or communicate di rectly to clients. 10. Monitoring the process of pending and decline claims along with its reasons. 11. Provide information to Department Head. 12. Checking the claim in accordance with the benefits and provide reports claim that payment will be made by finance. Show less

Medical Claim

• Jul 2014 - Aug 2015

1. Monitor claim analysis process to make sure it is done accurately and appropriately along with processing claim based on standards sets by benefit the company. 2. Reviews and analysis claims loss, expense reserves maintains regular report. 3. Verifying and updating information on submitted claims. 4. Coordinate with hospitals/clinics/physicians who care for the claimants to further acknowledge about claimant’s medical condition. 5. Contacting the hospitas/clinics/pharmacies, especially those related to official receipt and billing detail issued by the hospitals /clinics/pharmacies so the claim process can run smoothly and payment made appropriately. 6. Coordinate processing a claim based on standards Benefit set by company. 7. Communicate and coordinate with servicing team to solve claim problems or communicate di rectly to clients. 8. Monitoring the process of pending and decline claims along with its reasons. Show less