Leverage available automation and AI-enabled tools to enhance assessment efficiency, consistency, and accuracy
Liaise with Medical Advisors to obtain clinical guidance and clarification where required, ensuring informed and well supported claim decisions.
Perform effective suspense management, follow up on outstanding requirements, and liaise with Finance and relevant stakeholders to ensure timely and accurate claim payments.
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Business Growth: Support firm-wide growth by contributing to high-stakes proposals and authoring thought leadership content.
Communication & Delivery: Craft and present compelling narratives for executive stakeholders and lead internal project synchronization meetings.
Project Management: Direct the end-to-end project lifecycle, ensuring workstreams are delivered on time, within scope, and to the quality standards.
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The Admin is responsible for managing and processing claims for panel clinics or other healthcare providers. Familiar with clinical work or used to be Clinic Assistant before is a plus. This role involves ensuring that all claims are processed in accordance with the company's policies and within regulatory guidelines, while providing excellent customer service to clients and healthcare providers.
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