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Job Description
- The Claims Auditor will be responsible of performing technical audit on medical claims and ensure an appropriate application of contracts.
- Audit of invoice, if it is under his responsible area.
- Coordination with other adjusters for distribution of the claims.
- Escalation of any problematic area to Supervisor.
- Formulate and handle exceptions of claims.
- Report to CPD manager any irregularity noticed during the audit and/or closing of claims.
Job Requirements
- Holding a bachelor degree of Pharmacy.
- 1-2 years of experience in community pharmacies or any other related field.
- Previous experience in TPA or insurance companies will be a big plus.
- Details oriented.
- Males only can apply.