Claims Executive (assessor)

Singapore, Singapore

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Responsibilities:

Claims Assessment and Adjudication.
Assessment of Outpatient claims in accordance with policy contract and guidelines.
Ensuring emails enquiries are well-managed and respond in a timely manner.
Ensuring claim is assessed correctly in accordance with policy contract and guideline and approved within Authority Limit given.
Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT).
Continuous communication with both internal and external customer and providing the required support with the objective of providing quality claim service experience.
Assist to provide necessary information and ad-hoc assignment to Manager to allow for accurate and timely submission of reports to management.
Investigate and escalate technical claim issue as and when experienced.
To initiate improvement of process, workflows, or system on a continuous basis

Requirements:

Possess at least a Diploma in any discipline.
Minimum of 2 years of related work experience in the insurance industry, preferably experience with handling medical claims. (without prior experience will also be considered)
Proficient in Microsoft Office
Good analytical skills, meticulous with a flair for numbers to handle complex computations
Excellent verbal and written communication skills and interpersonal skills.
Able to work independently, able to grasp processes and system quickly.
Able to multi-task and work under pressure to meet tight deadlines in a face-paced environment.
Strong customer orientation, team player.
Insurance Certifications such as Certified in Health Insurance (HI), Basic Insurance Concepts and Principles (BCP), Personal General Insurance (PGI) are preferred

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