What to do

Assesses approval of medical approvals as well as policy use.
Channels Medical Claims officers in handling difficult medical cases and optimize the quality and quantity output.
Monitors daily output on the number of case done and decrease in number of errors committed. Provides second opinion for cases where there is doubt in treatment plan. Assess high cost claims and provide decision on high cost and complicated cases. Provides clear feedback on queries from call Centre team. Provides clients an understanding of any declined medical claims.
Manages routine daily claims administration work.
Coordinates work flow & meet deadlines.
Provides on job training to team members as necessary.