Claims Associate, Medical @ Raffles - UP3500

PERSOL SINGAPORE PTE. LTD.; Singapore; On-site; SGD 38,000 - 45,000; Full time

Job summary

PERSOL SINGAPORE PTE. LTD. is hiring for a role focused on medical claims assessment and stakeholder engagement.

You will deliver accurate claim reviews, liaise with medical institutions and policyholders, and perform quality checks to ensure compliance and prompt payouts. The position requires at least 1 year in insurance claims or related fields, with a Diploma/ Degree in Business or Healthcare Administration, Nursing or equivalent.

Qualifications

• Min. 1 year of experience in insurance claims handling, customer servicing, nursing or related fields; entry level candidates with strong interest in claims are welcome.

Responsibilities

• Assess Medical Claims and deliver accurate and timely assessment, ensuring prompt and fair payouts.
• Engage with medical institutions and policyholders to clarify outstanding requirements and ensure smooth claims processing.
• Conduct quality checks on processed claims to uphold high standards of accuracy and compliance on straight-through processing engine.
• Provide excellent service and strengthen relationships with customers and distribution channels through responsive and empathetic support.
• Attend to claims-related queries with clarity, care, and professionalism.
• Adhere to internal policies and regulatory requirements to maintain integrity and trust in our claims operations; identify and mitigate risks.

Skills

Analytical skills

Attention to detail

Customer-focused

Excellent communication skills

Proactive problem-solving

Education

Diploma or Degree in Business or Healthcare Administration, 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 handling, customer servicing, nursing or related fields (entry level candidates with strong interest in claims are welcome to apply).

Min. Diploma or Degree in Business or Healthcare Administration, 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