Job Description

About the team
Doctor Anywhere\'s Operations team is a crucial part of the company. We ensure the day-to-day excellence of our TPA business, virtual and in-person clinical services, resolving operational issues in a timely manner and providing the best customer experience possible. We make sure that our customers remain our top priority.
About the role We are seeking a Senior Executive, Inpatient Claims who will provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly. You will have 1 to 3 years of relevant working experience in claims processing or related. The ideal candidate will have a mindset of continuous improvement and change and will demonstrate curiosity, collaboration, and the ability to deal with ambiguity, especially in a start-up environment. This role reports directly to the Team Lead, Inpatient Claims.
A summary of the key responsibilities and requirements are as follows:

• Handle the administrative functions in Claims Department including claims registration, claims processing, sending of reminder letters and settlement letters upon claims approval.
• Handle customer service by communicating effectively and promptly with internal and external stakeholders not limited to policyholders/claimants/doctors/nurses/insurers on claims or related work matters, and ensures customer satisfaction in the services provided.
• Investigate, evaluate and settle claims in an efficient and timely manner, further investigating questionable claims to determine policy liability.
• Ensure claims are assessed according to Policy\xe2\x80\x99s terms & benefits and are settled within the agreed turnaround time.
• Ensure that pending claims are followed up and managed on a timely basis.
• Ensure strict adherence to company Standard Operating Procedures.
• Participate in any ad-hoc project(s) or duties when required.

About you

• Diploma/Degree in relevant discipline with 1 to 3 years of relevant working experience in claims processing.
• Good verbal and written communications skills in English language.
• Proficient in Microsoft Windows, Word, Outlook, Excel.
• Insurance professional qualifications and health claims experience preferred.
• Certification in Health Insurance (HI) is required.
• Meticulous and able to work in a fast-paced and competitive environment.

About Doctor Anywhere Doctor Anywhere (DA) is on a mission to be the largest tech-enabled, omnichannel healthcare provider in Southeast Asia. First launched in Singapore in 2017, DA aims to bridge gaps in the healthcare ecosystem through developing innovative solutions and technologies. In 2021, DA raised SGD$88 million in Series C fundraising (August 2021) and acquired Doctor Raksa, the biggest telemedicine platform in Thailand which further strengthened our foundation for telehealth and healthcare offerings. Today, DA is present in Malaysia, Thailand, Philippines, Vietnam, Indonesia and India, serving more than 2.5 million (and growing) users across the region. At DA, we believe in the value of innovation and collaboration. Grounded in our motto of \xe2\x80\x9cKeep Going, Keep Growing\xe2\x80\x9d, our team strives towards excellence every day, and values diversity in perspectives brought by every member. Together, we bring quality healthcare to your doorstep!