Claims Executive (IncomeShield)

INCOME INSURANCE LIMITED; Singapore; On-site; SGD 40,000 - 60,000; Full time

Job summary

A leading insurance company in Singapore seeks an experienced professional for claims processing within the Life and Health Operations department. The role involves managing IncomeShield claims, focusing on outpatient claims, and requires a Diploma or Degree along with Health Insurance certification. Candidates should have a minimum of 2 years experience in individual claims and be adept at managing enquiries and negotiations, with strong analytical skills to process complex computations.

Qualifications

• Minimum 2 years of individual claims experience.
• Experience in Shield claim processing is an advantage.
• Ability to manage enquiries and negotiations professionally.

Responsibilities

• Process and assess all types of IncomeShield claims.
• Investigate claims and determine claim amounts based on policy cover.
• Perform administrative duties related to claims management.
• Manage enquiries and complaints from claimants.

Skills

Claims processing

Negotiation skills

Analytical skills

Attention to detail

Education

Diploma or Degree in any field

Certification in Health Insurance

Job description

The Life and Health Operations (LHO) department plays a pivotal role in ensuring we provide our customers with affordable and comprehensive life and health products, with efficient processes to allow optimal service to our customers.

As part of the team dedicated to manage IncomeShield claim assessment, your key responsibilities include:

• Processing and assessing all types of IncomeShield claims, with a specific focus on outpatient claims, within service level agreement
• Assessing policy liability, investigating claims, determining the claim amount payable based on Income’s policy cover and management guidelines
• Performing administrative duties such as, claims registration, disbursement, raise requests for pending requirements, check that all pending documents had been received, prepare medical report fee payments etc
• Manage enquiries and complaints from claimants, including liaison with intermediaries and hospitals
• Undertake any other duties or projects assigned by the Supervisor or Head of Section

Qualifications

• At least obtained a Diploma or Degree in any field
• Certified in Health Insurance (HI)
• Have at least 2 years of individual claims experience. Experience in Shield claim processing and assessment will be an advantage
• Ability to professionally manage insurance claims enquiry and negotiations
• Good analytical skills, meticulous with a flair for numbers to handle complex computations
• Team player and self-motivated