Senior Claims Administrator – LOG

APRIL Asia

Senior Claims Administrator managing Letter of Guaranty emission in health insurance. Role involves assessing claims and liaising with healthcare providers in a dynamic regional team setting.

Posted 6/17/2026full-timeHo Chi Minh City • 🇻🇳 VietnamSeniorWebsite

About the role

Key responsibilities & impact

Review and assess pre-authorization and Letter of Guarantee (LOG/GOP) requests to ensure alignment with policy terms and conditions
Evaluate medical information, treatment plans, and cost estimates to determine coverage eligibility
Negotiate with healthcare providers to secure preferential rates
Ensure timely and accurate communication with hospitals, members, brokers, and internal teams regarding case status and decisions including inbound and outbound calls, fax and email
Monitor ongoing cases and provide updates to all relevant parties throughout the admission or treatment process
Identify potential risks such as non-disclosure, policy exclusions, or overutilization of benefits
Coordinate with medical advisors and underwriting teams when additional review or clarification is required
Ensure all documentation and decisions are properly recorded in the system in compliance with company standards
Finalize cases, ensuring completeness, accuracy, and proper closure within service level agreements (SLAs)
Handle more complex or sensitive cases. Take ownership of cases requiring advanced knowledge, deeper analysis, or cross-team coordination
Assist in reviewing cases handled by junior staff by provide guidance, quality checks, and feedback to ensure accuracy and adherence to processes

Requirements

What you’ll need

University degree in medical discipline is a strong plus
Excellent command of the English and Vietnamese language
Proficient in using computers, Microsoft Office, Internet, and E-mail
3-5 years of experience in letter of guarantee (LOG)/preauthorization issuance or claims processing in medical/life insurance
Able to analyze and interpret medical information, product features, research data, and synthesize information.
Able to adapt and work well in a multi-cultural environment.
Excellent communication skills both spoken and written
Flexible and able to multitask effectively in a fast-paced environment
Strong time management and organizational skills

Benefits

Comp & perks

You will further specialize in a sought-after profession
You will integrate into a dynamic and committed team of professionals in a regional setting
You will be offered development and career opportunities in a fast-growing tech-driven company.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processingpre-authorizationLetter of Guarantee (LOG)medical information analysistreatment plan evaluationcost estimate evaluationrisk identificationdocumentation compliancecase finalizationquality checks

Soft Skills

communication skillsmultitaskingtime managementorganizational skillsadaptabilityteam coordinationguidancefeedback provisionownershipnegotiation

Certifications

university degree in medical discipline