Claims Specialist
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Job Location:
Ho Chi Minh City - Vietnam
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Position Responsibilities
1. Reimbursement Responsibilities
Review and assess reimbursement claim submissions to ensure accuracy and compliance with policy guidelines.
Validate supporting documents such as invoices medical records and prescriptions.
Calculate eligible reimbursement amounts and identify exclusions or non-covered items.
Escalate suspicious or highrisk claims following fraud detection protocols.
Maintain accurate documentation and ensure adherence to SLA/TAT requirements.
2. Direct Billing Responsibilities
Handle direct billing requests from hospitals and clinics verifying eligibility and benefit coverage.
Review and approve preauthorization for medical services based on policy rules and medical necessity.
Communicate with providers to clarify treatment plans and negotiate cost adjustments when required.
Monitor inpatient cases to control medical expenses and prevent misuse.
Record decisions in the system and coordinate with backoffice teams for settlement.
Required Qualifications
23 years of experience in healthcare claims assessment reimbursement or direct billing.
Basic knowledge of medical services insurance benefits and medical terminology.
College or university degree in Healthcare Nursing Insurance or related fields.
Strong communication and analytical skills; proficiency in MS Office and claims workflow systems.
Preferred Qualifications
Experience working with provider networks or hospital billing departments.
Ability to make quick and accurate decisions under time pressure.
Familiarity with cost containment strategies compliance requirements and fraud detection.
English proficiency for reading and understanding medical documents.
When You Join Our Team
You will be empowered to learn grow and build the career you aspire to.
You will be supported in a flexible environment that values well-being and inclusion.
As part of our global organization you will have opportunities to contribute to shaping a future that matters to you.
About Manulife and John Hancock
Manulife Financial Corporation is a leading international financial services provider helping people make their decisions easier and lives better. To learn more about us visit is an Equal Opportunity Employer
At Manulife/John Hancock we embrace our diversity. We strive to attract develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment retention advancement and compensation and we administer all of our practices and programs without discrimination on the basis of race ancestry place of origin colour ethnic origin citizenship religion or religious beliefs creed sex (including pregnancy and pregnancy-related conditions) sexual orientation genetic characteristics veteran status gender identity gender expression age marital status family status disability or any other ground protected by applicable law.
It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process contact .
Working Arrangement
Required Experience:
IC
Key Skills
About Company
Manulife is a leading financial services group. We provide financial advice, insurance, as well as wealth and asset management solutions for individuals, groups and institutions.
