About this role
Medical Claims Officer
As a Medical Claims Officer at Marsh in Papua New Guinea, you will be responsible for the administration and coordination of medical and health-related insurance claims. Key duties include receiving, registering, and acknowledging claims, reviewing submissions for accuracy, organising documentation, and submitting claims to insurers. You will monitor outstanding claims, maintain records, and liaise with clients, insurers, and healthcare providers to resolve queries. The role requires a diploma or degree in insurance, business administration, finance, health administration, or equivalent experience, along with proficiency in Microsoft Office and strong administrative, communication, and problem-solving skills. Experience in medical, health, or employee benefits claims, and familiarity with insurance documentation, are advantageous.
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JOB DESCRIPTION
We are seeking a talented individual to join our Claims team at Marsh Papua New Guinea. This role will be based in Papua New Guinea.
As a Medical Claims Officer, you will support the administration and coordination of medical and health-related insurance claims for Marsh clients. You will work closely with clients, insurers, healthcare providers and internal teams to help ensure claims are handled accurately, efficiently and in line with policy terms, service standards and confidentiality requirements.
We will count on you to:
- Receive, register and acknowledge medical claims notifications in a timely manner
- Review claims submissions for completeness, accuracy and alignment with policy coverage and insurer requirements
- Obtain and organise supporting documentation such as claim forms, medical reports, invoices, receipts and discharge summaries
- Submit claims and supporting information to insurers or administrators within required service timeframes
- Monitor outstanding claims, follow up on progress and support timely resolution
- Maintain accurate claims records and prepare status reports, summaries and other management information
- Liaise with clients, insurers, providers and internal teams to resolve queries, clarify requirements and manage expectations
- Escalate complex, disputed, high-value or sensitive claims to the Claims Manager or relevant senior colleague as needed
What you need to have:
- Diploma or degree in insurance, business administration, finance, health administration or a related discipline, or equivalent relevant work experience
- Experience in claims administration, insurance operations, health insurance, employee benefits or a related client service role
- Proficiency in Microsoft Office applications, including Word, Excel and Outlook
- Strong administrative and recordkeeping skills
- Well-developed written and verbal communication skills
- Strong attention to detail, problem-solving ability and sound judgement
- Ability to manage multiple priorities, meet deadlines and handle confidential information with discretion
What makes you stand out:
- Previous experience handling medical, health or employee benefits claims
- Experience working in an insurance broker, insurer, third-party administrator or healthcare environment
- Familiarity with medical terminology, hospital billing or health insurance documentation
- Relevant insurance or claims-related training or certification
Why join our team:
- We help you be your best through professional development opportunities, interesting work and supportive leaders
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities
- Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being
Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X.
Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, skin color, or any other characteristic protected by applicable law.
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