Sr. Claim Hospital Fax (Claim Assessor)

Provide supports to team in handling fax claims received from hospitals, investigates and makes decision for claims in the system. In addition, continuously monitors and makes decision for the pending cases of fax claims, or back log.

Key Responsibilities

1. Hospital Fax Claims

• • Provide supports to team in handling the fax claims from the hospital
  • Check the information from fax claims documents, and record into the system
  • Investigate and make decision for claims in the system, by covering the below actions:
  • Approve for the payment base on authorization
  • Perform rejection of fax claims received Require the additional information Issue memo into the system for administration in performing next steps
  • Submit for further investig...