Claims, Analyst

AIA SINGAPORE PRIVATE LIMITED; Singapore; On-site; SGD 50,000 - 70,000; Full time

Job summary

A leading insurance company in Singapore is seeking a Claims Support Advisor to provide full claims advisory. Responsibilities include reviewing claim settlements, managing enquiries, working with brokers, and conducting claims data analysis. The suitable candidate should have a degree in Business or related fields, along with at least 3 years of experience in Employee Benefits Claims. Strong analytical and interpersonal skills are essential for success in this fast-paced environment.

Qualifications

• Degree Holder in Business or a related discipline preferred.
• Prior experience of no less than 3 years in Employee Benefits Claims or Medical Claims.
• Interest in operational systems and its efficiency.

Responsibilities

• Review and decide on claim settlements and approve within authority limit.
• Ensure all enquiries are responded in a timely manner.
• Work closely with brokers on claims matters.
• Perform claims data analysis to monitor trends.

Skills

Strong analytical skills

Problem-solving skills

Good verbal communication

Good written communication

Interpersonal skills

Data analysis

Education

Degree in Business or related discipline

Job description

In this role, you will be supporting assigned channels by providing full claims support advisory.

Responsibilities

• Review and decide on claim settlements and approve within authority limit
• Ensure all enquiries are responded in a timely manner
• Work closely with brokers/corporate clients/OSS on claims matters/enquiries/complaints
• Liaise with healthcare providers, TPAs
• Present to brokers/corporate clients on claim processes
• Tracking of operational statistics for Claims reporting
• Handling of exceptional claims escalated issues and appeals
• Perform claims audit/review as and when assigned
• Carry out task assigned by Team Lead and Head of Claims
• Managing and responding for escalation cases/requests from OSS Contact Centre, Claims, and PMM team, Brokers and Direct clients and internal sections
• Perform claims data analysis to monitor results and identify any gaps or trends as part of the Pro-Active Claims Management
• Plan and execute User Acceptance Test (UAT) Test scenarios for digital projects and system enhancement
• Support any other enhancements, internal and external projects as assigned

Requirements

• Degree Holder in Business or a related discipline preferred
• Prior experience of no less than 3 years in Employee Benefits Claims or Medical Claims or Third-Party Administration management
• Strong analytical and problem-solving skills, in developing solutions via digitalization, interest in operational systems and its efficiency
• Good verbal & written communication skills and good interpersonal skills
• Able to multi-task, meet tight deadlines and work in fast paced environment
• The individual will need to be self-motivated, highly organized, able to work independently and goal oriented
• Experience in data analysis is added advantage