Claims Associate, Medical @ Raffles Place

PERSOL; Santo Niño 1st; On-site; PHP 1,556,000 - 2,594,000; Full time

Job summary

PERSOL is seeking a Claims Assessments professional to deliver accurate and timely assessment of medical claims, ensuring fair payouts aligned with service standards. You will review pending claims, liaise with medical institutions and policyholders, and perform quality checks to uphold compliance.

The role requires strong analytical skills, customer focus, and the ability to learn in a fast-paced environment. Contract is for 6 months with renewal/ conversion possibilities.

Qualifications

• Min. 1 year of experience in insurance claims or related fields.
• Diploma or Degree in Business or Healthcare Administration, Nursing or relevant discipline
• Strong analytical skills and attention to detail
• Customer-focused with excellent communication
• Eager to learn in a fast-paced environment

Responsibilities

• Assess medical claims and determine accurate/prompt payouts.
• Engage with medical institutions and policyholders to clarify requirements for smooth processing.
• Perform quality checks on processed claims for accuracy and compliance.
• Support relationships with customers and distribution channels through responsive service.
• Handle escalated claims inquiries with clarity and professionalism.
• Adhere to internal policies and regulatory requirements to maintain risk management and compliance.

Job description

Location: Raffles Place
Working hours: Monday to Friday, 9AM - 6PM
Contract: 6 months (renewable/convertible based on performance & business needs)
Salary: up to $3,700/month

The Job

• Assess Medical Claims

  Deliver accurate and timely assessment of medical claims, ensuring prompt and fair payouts in line with service standards. Conduct review of pending claim to ensure reserve adequacy and closure of claims in a timely manner.

• Engage with Stakeholders

  Liaise professionally with medical institutions and policyholders to clarify outstanding requirements and ensure smooth claims processing.

• Quality Checks

  Conduct quality checks on processed claims to uphold high standards of accuracy and compliance on straight-through processing engine.

• Customer & Business Partner Relations

  Provide excellent service and strengthen relationships with customers and distribution channels through responsive and empathetic support.

• Handle escalated claims enquiries

  Attend to claims-related queries with clarity, care, and professionalism.

• Ensure Compliance

  Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations.

  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.

Requirements

• Min. 1 year of experience in insurance claims handing, customer servicing, nursing or related fields (entry level candidates with strong interest in claims are welcome to apply).
• Min. Diploma or Degree in Business or Healthcare Administration, Nursing or any relevant discipline
• Possess strong analytical skills and attention to detail, with the ability to interpret medical reports and policy terms
• Are customer-focused, with excellent communication skills and a proactive approach to problem-solving
• Are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence

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EA Reg. ID: R25157446 (Katherine Carlen)

PERSOL Singapore Pte Ltd • RCB No. 200007268E • EA License No: 01C4394