Claims Associate @ Raffles Place

PERSOL

Santo Niño 1st

On-site

PHP 1,849,000 - 2,215,000

Full time

6 days ago
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Job summary

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

Qualifications

  • Min. 1 year of experience in insurance claims handling, customer servicing, nursing or related fields.
  • Strong analytical skills and attention to detail.
  • Excellent communication and proactive problem-solving abilities.

Responsibilities

  • Assess medical claims with accurate and timely evaluation.
  • Engage with medical institutions and policyholders to clarify requirements.
  • Perform quality checks on processed claims for accuracy and compliance.
  • Maintain strong relationships with customers and distribution channels.
  • Handle escalated claims inquiries with clarity and professionalism.
  • Ensure compliance with internal policies and regulatory requirements.

Skills

Analytical skills
Attention to detail
Customer-focused
Communication skills
Problem-solving

Education

Diploma or Degree in Business / Healthcare / Nursing or relevant discipline

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
  • 1.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.

  • 2.Engage with Stakeholders

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

  • 3.Quality Checks

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

  • 4. Customer & Business Partner Relations

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

  • 5.Handle escalated claims enquiries

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

  • 6. 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 / Healthcare / 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

We regret to inform that only shortlisted candidates will be notified.

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