Executive, Claims

ALLIANCE HEALTHCARE GROUP LIMITED; Singapore; On-site; SGD 50,000 - 70,000; Full time

Job summary

A leading managed healthcare provider in Singapore is looking for dynamic professionals to join their claims team. The role requires accurate claims adjudication, managing stakeholder relations, and driving process improvements. Candidates should have strong technical understanding of medical claims in a managed healthcare environment and exceptional communication skills. This position offers the opportunity to enhance business outcomes through effective claims management.

Qualifications

• Strong experience in a Third-Party Administrator/Managed Healthcare environment.
• Passion for driving change to improve business outcomes.

Responsibilities

• Adjudicate claims, validate applications, and ensure SLA targets.
• Review current processes and collaborate on improvements.
• Manage escalations and stakeholder relations.
• Provide training and support for claims management.

Skills

Technical understanding of medical claims process

Interpersonal skills

Organisational skills

Stakeholder management

Communication skills

Job description

Job Description

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

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:

• 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