Section Head Health Claim have to make sure the verification and approval claim processes executed properly & thoroughly, also they need to encourage and implement innovations in process and services in Health Claim. […]
Ensure: (a) Claim content (medical procedures, medical examinations, and medications) in accordance with policies’ coverage plan; (b) Medical procedures, examination, and medications fee is in accordance with terms & conditions; (c) Claim content to hospitals or health provider (in accordance to policies' coverage plan)
Giving out advice and medical recommendations for specific...