To manage (administration related matters) panel of healthcare providers that provides medical services with cashless facility to covered members and policyholders of AIA health insurance policies.
To support claims operations and act as intermediary for operational matters between panel providers and AIA Health Services.
Responsible for maintaining providers system set-up, updating and prompt communication for smooth operation between providers & AIA
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To create the GP Clinic Dialogues presentation deck to ensure panel clinics are updated with latest information/ changes from AIA.
To provide and receive feedback from providers by monitoring behavior and evaluating the performance of hospital panel provider based on claims utilization, market best practice, service level, adherence
To oversee the handling of complaints from internal and external clients on services related issues by panel providers, especially issues related to claims, services related issues by clinics, suspected high cost, churning of visits, MC related issues etc.
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