Pacific Cross Health Insurance Public Company Limited

Administration Officer-Policy Issuer

Functional responsibilities

• Issue medical insurance policy that match with the need of our clients.
• Issue Medical insurance card for clients to use as evidence in insurance when they need to go to hospital.
• Calculate the premium, tax, stamp and time of covered of medical insurance policy that depend on Insurance plan, age and conditions.
• Co-ordinate with marketing staffs for issuing medical insurance policy that match with the need of our clients.
• Issue a renewal notice
• Issue an Invoice/Receipt
• Take care others project as required

Requirements

• Experience in Health Insurance Industry
• Knowledge of English and technical terms related to health insurance
• Knowledge computer skill (Microsoft Word and Excel)

Claims Administration Officer

Functional responsibilities

• Daily keying & checking claims reimbursement from clients and invoices from hospitals network into the HC policy system before forwarding claims to bookkeeper for payment
• Support and handle other assigned tasks

Qualifications

• Knowledge computer skill (Microsoft Word and Excel)
• 1 year experience in administration field
• Be able to stand by working on Saturday, Sunday or Public Holiday
• Be able to work under pressure

Claims Assessor

Functional responsibilities

• Operate daily claims service (Fax Claims, Reimburse, Credit)
• Coordinate with hospitals for claims processing
• Provide claims information to clients and concerned parties
• Support a Manager to implement its section and handle other assigned tasks

Requirements

• Male or Female Age 25 – 35 years
• Bachelor’s degree in nursing science or medical field
• 1 – 3 years experiences in claims assessor in insurance field is an advantage
• Fair command of spoken and written English
• Good interpersonal and communication skill
• Knowledge computer skill and having technical knowledge analytical thinking
• Be able to stand by working on Saturday, Sunday or Public Holiday
• Be able to work under pressure
• Able to coach others

Medical Advisor

Functional responsibilities

• Provide medical underwriting consultations.
• Provide medical expertise in the review of medical claim consultation and discuss client management issues with claims team.
• Ensure a consistent and timely resolution to medical underwriter queries and medical review claims which have a documented turnaround time and quality standard.
• Ensure compliance by following laws and regulations, internal control requirements and PCHI/MSS claims policy.
• Represent the company to ensure medical correspondence regarding claim management to Medical Provider is professional and timely.
• Provide comprehensive disease updates and updated therapies training to internal and external customers, including the field force if required.
• Maintain ethical standards of Country operations by contributing proactively to a credible image for company in the local Healthcare and Medical community.

Requirements

• Male or Female Age 30 – 55 years
• The applicant must possess a Medical Degree; a specialist (board of medicine) is a plus
• At least 5 years of medical treatment experience and Insurance field.
• Good command of English (both written and spoken) is a must
• Mature, possess strong interpersonal and project management skills
• Be a team player
• Able to coach others

International Business Consultant

Job Purpose

• The job of a Direct Sales Executive/Agent is to look for business opportunities – both individual and group who are interested in buying insurance coverage, such as health,personal accident and travel insurance. These sales executives/agents protect policyholders against possible financial losses, large medical bills and other circumstances included in the insurance policy terms and conditions.

Duties and Responsibilities

• Study all the products and understand them in great details
• Selling one or more types of insurance plans
• Attending meetings internally and externally with prospect clients
• Calculating premiums and providing payment options, explaining to policyholders everything there is to know about the policy, customizing group health and personal accident insurance programs based on customer requirements
• Support direct Sales Manager in developing and executing marketing strategies to boost sales
• Handling policy renewals and maintaining records of policyholders

Qualifications

• A bachelor’s degree in accounting, economics, business administration, or other similar fields.
• Good command of English and French or Japanese language
• Excellent public speaking skills, interpersonal skills, effective written and communication skills
• Good organizational, time-management, problem-solving and analytical skills
• Disciplined, enthusiastic, creative and well organized.
• Strong interpersonal and communication skills with a willingness to learn.
• Sales personality/attributes
• Knowledge in local and national insurance laws, business principles and different types of insurance policies offered is an advantage.

Remuneration Package

• Base salary it depend on sales experiences
• Sales Incentive ( Commission )

Benefits

• Social Security
• Provident Fund
• Health & Life Insurance
• Dental & Vision Benefit
• Annual leave
• Annual health check-up
• Training and on-going learning opportunities provided
• International working environment with opportunities to develop and grow

Nurse Claims Assessor

Duties and Responsibilities

• Process daily fax claims service
• Process & approve reimburse / invoices claims
• Coordinate with hospitals for claims processing e.g. request more documentation to support claims decision
• Consult and discuss complicated cases with claims manager and company’s Consultant Doctor to find out the best solutions
• Issue GOP to hospitals and on time for claim discharges
• Provide hotline service to answer question on products and benefit plans to clients, agents and hospital network staff
• Train new claims staff members on products and benefit plans, terms and condition of policies
• To perform any other duties as assigned

Requirements

• Age 30 – 40 Years
• Bachelor’s degree in nursing science/medical laboratory science or related field
• 2 – 5 years’ experience in Claims service preferable, in insurance field is an advantage
• Fair command of spoken and written English
• Good interpersonal and communication skill
• Positive attitude and strong contribution for team, diligent, self-motivated and enthusiastic
• Service minded and able to work effectively in a high pressure environment
• Be able to stand by working on Saturday, Sunday or Public Holiday
• Be able to work under pressure

Sales Coordinator

Functional responsibilities

• Manage account services through quality checks and other follow-up.
• Manage all documentation related to the sales processes eg. Letters, quotations, claim reports and sales orders.
• Assist sales staff with new business and renewal business process.
• Recheck the health insurance policies, endorsement, debit & credit notes and renewal notices.
• Recheck claim reimbursement payments approved by Claim Department.
• Respond to customer and intermediary queries and requests
• Assist sales staff in the collection of Accounts Receivable.
• Create weekly and monthly sales reports when required.
• Attend to direct business (when assigned)
• Recheck and refill the relevant documents in store room.
• Miscellaneous tasks assigned by either Assistant Manager Director of Sales & Marketing
• General assistance to Team Leader.
• Support the achievement of sales goals and KPI’s

Requirement

• Age 25 – 30 Years
• Bachelor Degree in business administration or relevant field;
• Certification in sales or marketing will be an asset
• Computer literacy – Microsoft Office applications.
• Proven experience in sales; experience as a sales coordinator or in other administrative positions will be considered a plus.
• Disciplined, Enthusiastic, Creative and well organized.
• High level of responsibility
• Pleasant personality.
• Good problem solving skills.
• Good in communication both spoken and writing – Good in English
  Communication is essential.