Claims Assistant (Contract Until Mar 2026)

ALLIANCE HEALTHCARE GROUP LIMITED; Singapore; On-site; SGD 20,000 - 60,000; Full time

Job summary

A healthcare management firm in Singapore is looking for dynamic professionals to join their claims team. The ideal candidate will have experience in the medical claims process and exceptional organisational and communication skills. Responsibilities include assessing claims, ensuring compliance, and working on process improvements. This role promises growth within a challenging yet rewarding environment.

Qualifications

• Experience in medical claims process preferred in a Managed Healthcare environment.
• Exceptional eye for details.
• Strong communication and stakeholder management skills.

Responsibilities

• Assess medical claims and validate coverage against policies.
• Document claims information per company compliance policies.
• Analyze claim trends with management to improve processes.
• Work on projects related to Medical Claims solutions.

Skills

Claims process experience

Organisational skills

Communication skills

Stakeholder management

Job description

Overview

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business segment.

Responsibilities

Claims Management – Outpatient and Inpatient Medical Claims

• Understand and examine the provisions of medical policies to determine the patient’s/member’s level of medical coverage against the terms and conditions of the policy
• Provide accurate and efficient assessment of medical claims, validation, pre-authorisation of applications and LOG issuance
• Ensure evidence and claims information are documented and maintained in accordance to company compliance policies and SLA
• Work with the management team to share claim trends, analyse and interpret data in relation to medical claims and identify areas of improvement in the current medical claims cycle and SOPs
• Contribute to ad hoc projects, initiatives, and other activities such as new developments of Medical Claims solutions and processes

Qualifications

• Experience of claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment is ideal
• Good Organisational skills and exceptional eye for details
• Good communication skills and stakeholder management skills

Please note that only shortlisted candidates will be notified