Claims Team Lead - Inpatient/Outpatient (Singapore)

Integrated Health Plans; Kuala Lumpur; On-site; MYR 50,000 - 70,000; Full time

Job summary

A health insurance provider is seeking a Team Lead for Claims Assessors in Kuala Lumpur. The role involves overseeing the team responsible for processing inpatient and outpatient claims, ensuring accuracy and compliance with policies. The ideal candidate must have a diploma, strong knowledge of health insurance policies, and at least 1 year of experience in claims management. Strong leadership and analytical skills are essential for driving operational excellence and managing team performance.

Qualifications

• At least 1 years’ experience in medical claim management.
• Strong knowledge of health insurance policies and claims processes.
• Versatile and adaptable to fast-changing environments.

Responsibilities

• Lead and manage a team of claims assessors.
• Oversee daily operations for timely claim assessment.
• Monitor team performance through KPIs and quality metrics.
• Provide guidance on complex claims and escalated issues.
• Conduct quality audits of claims decisions and documentation.

Skills

Leadership skills

Analytical skills

Communication skills

Problem-solving skills

Knowledge of health insurance policies

Education

Diploma or higher educational qualification

Job description

A health insurance provider is seeking a Team Lead for Claims Assessors in Kuala Lumpur. The role involves overseeing the team responsible for processing inpatient and outpatient claims, ensuring accuracy and compliance with policies. The ideal candidate must have a diploma, strong knowledge of health insurance policies, and at least 1 year of experience in claims management. Strong leadership and analytical skills are essential for driving operational excellence and managing team performance.