Executive, Claims

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

Job summary

A managed healthcare firm in Singapore seeks dynamic professionals for its claims team. The role involves accurate and efficient claims adjudication, managing escalations, and improving claims processes. Candidates should possess strong technical understanding of medical claims, excellent interpersonal and organisational skills. This position offers a chance to drive change and improve business outcomes.

Qualifications

• Strong technical understanding of medical claims processes.
• Highly developed interpersonal and communication skills.
• Excellent organisational skills with attention to detail.

Responsibilities

• Provide adjudication of claims and operational targets.
• Review current claims processes to improve efficiency.
• Manage escalations and stakeholder relations.
• Liaise with the Insurance Company for complaints resolution.
• Prepare periodic reports and presentations.

Skills

Technical understanding of the claims process

Interpersonal skills

Organisational skills

Eye for details

Stakeholder management 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