Claims Operations Lead

Alliance Healthcare Group; Singapore; Vor Ort; SGD 80.000 - 110.000; Vollzeit

Zusammenfassung

Alliance Healthcare Group in Singapore seeks an Associate Manager, Claims to oversee daily claims operations, ensure accurate processing of medical and employee benefits claims, and supervise the claims team. You will collaborate with Client Services, Finance and Technology teams to drive improvements, handle complex cases, and maintain service standards while protecting confidentiality.

This role emphasizes leadership, governance and continuous improvement.

Qualifikationen

• Diploma or degree in Business Administration, Insurance, Healthcare Management or a related discipline.
• At least 4–6 years of relevant experience in medical claims, health insurance, employee benefits administration or TPA operations, including experience supervising staff or leading a team.
• Sound understanding of medical claims assessment, benefit schedules, policy exclusions and claims administration workflows.
• Strong analytical and problem-solving skills, with good judgement when handling complex cases.
• Strong organisational skills and the ability to manage competing priorities and high transaction volumes.
• Effective communication and stakeholder management skills.
• Proficiency in Microsoft Excel and experience using claims administration systems.
• Experience in quality assurance, operational reporting, process improvement or system implementation would be an advantage.
• A meticulous, service-oriented and collaborative approach, with a strong commitment to confidentiality and accountability.

Aufgaben

• Oversee the daily assessment, processing and administration of medical and employee benefits claims in accordance with benefit schedules, policy terms, client agreements and established procedures.
• Plan workloads and allocate resources to meet agreed turnaround times, service standards and quality targets.
• Monitor outstanding claims, ageing cases and processing backlogs, and implement timely follow-up actions.
• Review complex, disputed or exceptional claims and approve decisions within delegated authority, escalating cases where required.
• Ensure claims decisions, supporting documents and communications are accurately recorded and maintained.

Kenntnisse

Analytical skills

Problem-solving

Organisational skills

Communication

Stakeholder management

Ausbildung

Diploma or Degree in Business Administration, Insurance, Healthcare Management or related discipline

Tools

Microsoft Excel

Claims administration systems

Jobbeschreibung

Alliance Healthcare Group in Singapore seeks an Associate Manager, Claims to oversee daily claims operations, ensure accurate processing of medical and employee benefits claims, and supervise the claims team. You will collaborate with Client Services, Finance and Technology teams to drive improvements, handle complex cases, and maintain service standards while protecting confidentiality.

This role emphasizes leadership, governance and continuous improvement.