Analyst, Individual Health Claims

SINGAPORE LIFE LTD.; Singapore; On-site; SGD 40,000 - 60,000; Full time

Job summary

A leading financial services company in Singapore is seeking an individual for health claims assessment. The role involves ensuring claims are assessed accurately and in compliance with policy terms, whilst managing customer complaints effectively. Candidates should have good communication skills and preferably hold a diploma or degree. Self-motivated individuals with an aptitude for customer service are encouraged to apply.

Qualifications

• Experience in claims not required but an advantage.
• Self-motivated and collaborative individual.
• Able to work independently.

Responsibilities

• Assess health claims according to policy terms and benefits.
• Provide accurate and timely claims assessments.
• Ensure claims are settled within agreed turnaround time.
• Follow up and manage pending claims.
• Manage complaints effectively.
• Provide training on claims.
• Prepare claims statistics and reports.

Skills

Good customer service skills

Complaint handling skills

Communication skills

Interpersonal skills

Organizational skills

Education

Diploma/Degree holder

Insurance professional qualifications

Nursing qualifications

Job description

Overview

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.

Key Appointments/Purpose of the Role

Responsible for daily health claims assessment day & operational duties within the team, ensuring valid claims are assessed according to Policy’s terms & benefits and within the claim authority limit.

Key Responsibilities

• Responsible for daily health claims assessment day & operational duties within the team, ensuring valid claims are assessed according to Policy’s terms & benefits and within the claim authority limit.
• To provide accurate and timely assessment of health claims within required service standards.
• Ensure claims are settled within the agreed turnaround time.
• Ensure that pending claims are followed up and managed on a timely basis.
• Ensure that complaints are managed effectively and on a timely basis.
• Provide or support training on claims.
• Provide support, face-to-face meeting and resolve customers and intermediaries’ complaints.
• Provide claims statistics and reporting.
• Comply with regulatory and risk management controls, corporate policies, procedure and claims guidelines.
• Ensure full understanding of Fair Dealing Outcomes and one’s own accountability in delivering these outcomes as applicable to the role.
• Ensure compliance with all applicable laws and regulations relating to the above functional activities.

Key Decisions within the Role

Responsible for daily health claims assessment day & operational duties within the team, ensuring valid claims are assessed according to Policy’s terms & benefits and within the claim authority limit.

Requirements

Experience

Experience in claims not required but would be an advantage. Must have an aptitude for good customer service and complaint handling skills. Self-motivated and collaborative individual with good communication and interpersonal skills. Good organized, focused and able to work independently.

Education

Diploma/Degree holder. Insurance professional qualifications and/or nursing qualifications would be an advantage.