Analyst, Group Provider Operations

Singlife Life Ltd; Singapore; On-site; SGD 60,000 - 90,000; Full time

Job summary

A leading financial services company in Singapore is seeking a professional to oversee insurance claims management and Third Party Administrators. The ideal candidate will conduct assessments, ensure compliance with service level agreements, and collaborate with various stakeholders to enhance service delivery. Candidates should possess knowledge of group insurance and claims processes, ready to tackle unstructured situations effectively.

Qualifications

• Familiar with group insurance and provider network operations.
• Ability to conduct system and process reviews.
• Must collaborate with internal/external stakeholders.

Responsibilities

• Conduct annual due diligence assessments on Third Party Administrators.
• Monitor SLAs and ensure service delivery.
• Manage claims audit processes and resolutions.

Skills

Understanding of group insurance

Panel claims arrangement

Compliance with SLAs

Ability to provide solutions

Stakeholder collaboration

Job description

Singlife is a leading homegrown financial services company, offering consumers a better way to financial freedom. Through innovative, technology-enabled solutions and a wide range of products and services, Singlife provides consumers control over their financial wellbeing at every stage of their lives.

In addition to a comprehensive suite of insurance plans, employee benefits, partnerships with financial adviser channels and bancassurance, Singlife offers investment and advisory solutions through its GROW with Singlife platform. It also offers the Singlife Account, a mobile-first insurance savings plan.

Singlife is the exclusive insurance provider for the Ministry of Defence, Ministry of Home Affairs and Public Officers Group Insurance Scheme. Singlife is also an official signatory of the United Nations Principles for Sustainable Insurance and the United Nations-supported Principles for Responsible Investment, affirming its commitment to finding a better way to sustainability.

The merger of Aviva Singapore and Singlife was announced in September 2020 and created one of the largest homegrown financial services companies in Singapore in a deal valued at S$3.2 billion. It was the largest insurance deal in Singapore at the time. Singlife was subsequently acquired by Sumitomo Life in March 2024, one of Japan’s leading life insurers, which valued Singlife at S$4.6 billion, making the transaction one of the largest insurance deals in Southeast Asia.

Responsibilities:

• Conduct annual due diligence assessments on appointed Third Party Administrators according to local regulatory and company guidelines and requirements.

• Monitor and ensure business efficiency and appointed Third Party Administrators' Service Level Agreements (SLAs) are met.

• Management of panel providers and its interventions or enhancements

• Provide complaints resolution in relation to service delivery failure, claims, payment matters with Medical Providers, Third Party Administrators etc.

• Designing and testing solutions relating to both inpatient and outpatient claims.

• Manage claims audit and claims upload process

• Identify issues arising from controls weaknesses (Inadequate/ Ineffective controls) notes from control assessments, risk events/incidents happened.

• Perform any other duties or projects assigned.
  
  

Requirements

• Familiar with group insurance, panel claims arrangement, Third Party Administrators' SLA and outsourcing due diligence monitoring.

• Understand group insurance and provider network operations.

• Able to conduct system and process review, and UATs.

• Be able to deal with unstructured situations and provide solutions to position Singlife as the preferred EB insurer.

• Be able to make recommendations on panel management arrangements, processes and systems in a team setting. The aim is to provide a constant stream of new services to improve productivity and deliver good customer service.

• He/she is required to collaborate with internal and external stakeholders, like Third Party Administrators and Medical Providers, to ensure smooth operations and panel service delivery to Singlife EB customer.