Claims Executive (Remote)

Alliance Healthcare Group; Singapore; Hybrid; SGD 40,000 - 60,000; Full time

Job summary

A healthcare organization in Singapore is looking for a claims specialist to join their team. The role involves adjudicating claims, managing stakeholder relations, and improving claims processes. Candidates should have at least 2 years of experience in claims handling and a diploma in a relevant field. Strong interpersonal and organizational skills are essential for success in this role. This position offers a remote work model after a 3-month probation period.

Qualifications

• 2 years of experience in claims handling, preferably in medical and employee benefits.
• Highly developed interpersonal skills.
• Exceptional attention to detail.

Responsibilities

• Provide accurate adjudication of claims and manage stakeholder relations.
• Conduct reviews of claims processes to improve efficiency.
• Liaise with insurance companies to resolve complaints.

Skills

Claims handling experience

Interpersonal skills

Organisational skills

Communication skills

Stakeholder management

Education

Diploma in healthcare management or business management

Job description

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

You will be required to go through a probation period of 3 months before commencing the remote role.

During the probation period, you are expected to work from office on a daily basis aside from the weekends.

You will work on a remote basis after your probation period, with ad-hoc work from office days for meetings.

The Job

• Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational and SLA targets
• Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience
• Manage escalations and stakeholder relations
• Being a champion for change as well as providing on-going training and development for effective claims management.
• Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints
• Conduct analysis, prepare periodic reports and presentation when required

Requirements:

• 2 years of experience in claims handling, preferably in medical and employee benefits industry
• Diploma in any discipline, preferably in healthcare management or business management
• Highly developed interpersonal skills
• Excellent organisational skills and exceptional eye for details
• Passionate about driving change to improve business outcomes.
• Exceptional communication skills and stakeholder management skills
• Able to work a Tuesday - Saturday or Sunday - Thursday schedule

Interested applicants to click apply, or send in your resume to us.

Kindly note that only shortlisted candidates will be contacted.

To know more about our organisation, please visit https://www.alliancehealthcare.com.sg