Grow your career with us
Here at Averis, our common purpose is to improve lives by developing resources sustainably. Our people are crucial in helping us to realise our vision to be one of the best Global Business Solution (GBS) organization to support our customers in creating value for the Community, Country, Climate, Customer and Company.
Role Summary:
Ensure claims are processed accurately and in a timely manner.Responsibilities: You are on a journey to join an exciting Company and be part of our success story. Here we will equip you with the know-how and experience that will define your growth. In this role that you are about to embark on, you are required to carry out the following responsibilities:
• Reviews and evaluates all claims for completeness and clarity of data; supporting documents, as needed, to ensure compliance with policy and regulatory requirements.
• Determines appropriateness and amount of employee's claims; investigates individual claims for eligibility for workers' compensation benefits; ensures that all legal and procedural requirements are met for the processing of claims, in order to ensure proper and timely payment to employees.
• Design and implement training and orientation programs to disseminate claim processing procedures to employees.
• Assembles appropriate medical information and facts regarding claims for cases pending litigation if required.
• Communicates and interacts with medical professionals, support agencies and others to monitor and assess claims and verification of documents.
• Prepares all necessary forms, records and documentation, to include statistical analyses and reports, for all claims assigned, as required by various regulatory agencies.
• Makes strategic recommendations for reducing the frequency and severity of claims; designs and develops data bases, performs integrated data analyses, and prepares reports.
• Processes assigned claims and performs other job-related duties as assigned.
Requirements: To be successful in this role, it is recommended that you should have the following skills and qualifications:
• A degree in the related job field.
• Those with 1 to 2 years of working exposure or experience in a similar role will have an advantage but not essential.
• Willing to relocate to the job location.
When you send us your resume and personal details, it is deemed you have provided your consent for us to keep or store your information in our database. All the information you have provided is only used for the recruitment process. Averis will only collect, use, process or disclose personal information where and when allowed to under applicable laws.
Only shortlisted candidates will be contacted for an interview. We endeavour to respond to every applicant. However, if you receive no response from us within 60 days, please consider your application for this specific position unsuccessful. We may contact you in the future if there are opportunities that match your qualifications and experience. Thank you for considering a career with Averis.
