Provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
Handle claim investigations and appeals
Deliver excellent service and enhance customer and distribution channels relationship management
Review claims processes and participate in process improvement projects, initiatives and system enhancement for the department, including establish claims best practices
Provide guidance to junior staff
Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
Highlights any potential concerns /risks and proactively shares best risk management practices.
Requirements
Diploma in Nursing / or Professional Insurance Certificate with at least 5 years of relevant accident and health claims experience.
Mid-level claims assessors who are looking for greater challenges and greater exposures
Strong knowledge on integrated shield claim processes and industry initiatives in managing medical claim cost
Strong analytical, written and communication skills
Customer-centric and meticulous with the ability to work under pressure
Excellent interpersonal skills to effectively communicate with all stakeholders
Good medical knowledge and ability to explain medical conditions in insurance context
Good business acumen with long term vision
A team player
High level of integrity, takes accountability of work and good attitude over teamwork.
Takes initiative to improve current state of things and adaptable to embrace new changes.
Check out Aber Care Website for more details
Interested applicants please email your detailed resume to career@abercare.sg or contact us at +65 6721 9231.
Abercare.sg | Germaine Er Si Ying | R1875721 | Ea License No. 18C9070
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