Claims Executive (Remote, Contract)

ALLIANCE HEALTHCARE GROUP LIMITED; Singapore; Remote; SGD 40,000 - 60,000; Full time

Job summary

A managed healthcare company in Singapore seeks a Claims Professional to enhance claims processes and engage with stakeholders. The ideal candidate has a strong understanding of medical claims processes, exceptional communication skills, and a passion for driving change. Key responsibilities include managing escalations, providing training, and ensuring timely claim settlements.

Qualifications

• Experience in Third-Party Administrator/Managed Healthcare environment preferred.
• Ability to drive change for better business outcomes.
• Exceptional eye for details.

Responsibilities

• Review and improve claims processes and work with stakeholders.
• Manage escalations and maintain stakeholder relations.
• Provide training for effective claims management.
• Liaise with insurance companies to resolve complaints.
• Ensure claim settlement within agreed Turnaround Time (TAT).
• Check data entry for compliance and minimal error.

Skills

Strong technical understanding of claims process

Highly developed interpersonal skills

Excellent organisational skills

Exceptional communication skills

Job description

Job Description

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

The Job

• 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
• Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT).
• Check data entry processes to ensure compliance with minimal error.

Requirements:

• Strong technical understanding of the claims process for medical claims, preferably in a Third-Party Administrator/Managed Healthcare environment
• 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

Interested applicant please 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