Executive, Claims

ALLIANCE HEALTHCARE GROUP LIMITED; Singapore; On-site; SGD 45,000 - 65,000; Full time

Job summary

ALLIANCE HEALTHCARE GROUP LIMITED is looking for dynamic professionals to join their claims team in Singapore. The successful candidate will handle adjudication of claims, manage stakeholder relations, and improve processes within the healthcare sector.

The ideal candidate will have strong technical skills in claims processing, excellent interpersonal abilities, and a passion for driving change to enhance business outcomes. This role promises ongoing training and a commitment to operational excellence.

Qualifications

• Strong technical understanding of medical claims processes.
• Highly developed interpersonal skills.
• Excellent organizational skills with attention to detail.
• Passionate about driving change for business improvement.
• Exceptional communication and stakeholder management skills.

Responsibilities

• Adjudicate claims and manage pre-authorization to meet targets.
• Review claims processes and develop improvements.
• Manage escalations and stakeholder relationships.
• Provide ongoing training for effective claims management.
• Liaise with insurance companies for exceptions and complaint resolution.
• Prepare periodic reports and presentations.

Skills

Claims process understanding

Interpersonal skills

Organizational skills

Change 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