Job Description

Description

Responsibilities:

• Formulate strategies and drive initiatives to improve Third Party Claims Recovery rate to support the individual health insurance business.
• coordinate, investigate, and recover claims by pursuing the responsible third party and assist in providing service to policyholders/customers through subrogation efforts.
• Identify and employ confident, self-starting, highly motivated individuals who display high-energy and intelligence to achieving our departmental financial objectives.
• Investigative and analytic skills to work; communicating with policyholders, medical professionals, hospitals and others to gather the critical information necessary for the prompt, fair and equitable resolution of different types of claims recovery.
• Demonstrate technical proficiency in resolving recovery of claims and ensure that the recovery target is met;
• Engage and communicate with our policyholders to gather information and assist them in claim submission to third party;
• Conduct outreach sessions with our Financial Representatives and customers to promote proactive recovery effort through our agencies;
• Investigates and identifies third parties, determines liability, and uses all available resources to maximize the recovery;
• Notify third party and/or third party insurance carrier of our subrogation and right of recovery. Make appropriate referrals to legal counsel to initiate litigation or intervene when appropriate;
• Post Action Plan outlining the course of action to bring the subrogation claim to resolution with target dates. Ensure claim file has all documents to support subrogation recovery efforts. Manage a timely diary and follow up system on case assignments. Create a recovery log with an estimation of the dollars expected to recover;
• Use sound communication skills to successfully negotiate recoveries with third parties;
• Update files and provide comprehensive reports as required. Adhere to instructions in recovery efforts, status updates and notification of final disposition;
• Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks;
• Maintain awareness of industry trends on regulatory compliance, emerging threats and appropriate steps to mitigate the risks; and
• Highlight any potential concerns/risks and proactively shares best risk management practices.
• Guide and train junior staff

Requirements:

• Min Diploma holder in any field
• Min 3 years of working experience in claims recovery and/or claim handling experience in employee benefits
• Working hours: Monday - Friday Office hours
• Able to start on immediate or short notice

Interested candidates please send your updated resume to:
kayleyng@recruitexpress.com.sg
Attn: Medical Claims Assistant Manager (Central/ Up to $5500) # HKA

We regret to inform that only shortlisted candidates will be contacted

EA Personnel: Kayley Ng Yin Yi (R1762843)
Company EA Registration Number: Recruit Express Pte Ltd (99C4599)

Industry

Healthcare / Pharmaceutical / Life Science / Medical Device

Specialization

Administrative Support / Secretarial

Location

Central

Employment Type

Permanent

Salary

Negotiable

If you meet the requirements of this role, please email a detailed resume in Word document to Kayley Ng Yin Yi.
CEI Registration No.: R1762843
Email: kayleyng@recruitexpress.com.sg
Tel: 67363280
*All information will be treated with strictest confidence. We regret that only short-listed applicants will be notified.