3Main?duties/Responsibilities??·Well?handle?recoupment?and?reconciliation?works,?communicate?withproviders?and?members?via?call?and?email?for?collection?and?explanation.·Work?with?cross?function?teams,?such?as?Finance,?CSR,?Eligibility,?Network,Client?Management,?etc.?Ensure?recoupment?work?go?smoothly.·Follow?Claim?Manual?and?SOP?strictly,?adjudicateclaims?according?to?benefit?policies,?and?meet?both?financial/procedure?accuracyand?TAT?target?on?claims?adjudication.·Adjust?error?claims?according?to?actual?situation.?·Monitor?and?highlight?high?cost?claims?and?ensure?relevant?parties?areaware.·Actively?support?Team?Leaderand?work?with?claim?colleagues?to?enable?all?operational?goals?to?be?achievedExperience?andSkills?Required·Bachelor?Degree?with?CET-6?or?above·English?and?Mandarin?fluency?–?written?and?orally·Good?communication?skills·Sense?of?team?works?and?customer?service·????Solid?knowledge?of?health?insurance·???Good?at?basic?Microsoft?applications?(Word,?Excel,?Visio,?MS?Outlook?andPowerPoint,?etc.)