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PERSOL in Singapore is seeking a Claims Assessment professional to deliver accurate, timely evaluation of medical claims and review reserves for pending cases. You will engage with medical institutions and policyholders, conduct quality checks, handle escalated inquiries, and ensure compliance with internal policies and regulatory requirements.
The ideal candidate has at least 1 year in insurance claims, a Diploma or Degree in Business, Healthcare or Nursing, strong analytical skills, and a
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
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.
Liaise professionally with medical institutions and policyholders to clarify outstanding requirements and ensure smooth claims processing.
Conduct quality checks on processed claims to uphold high standards of accuracy and compliance on straight-through processing engine.
Provide excellent service and strengthen relationships with customers and distribution channels through responsive and empathetic support.
Attend to claims-related queries with clarity, care, and professionalism.
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.
We regret to inform that only shortlisted candidates will be notified.