Executive, IS Opt Claims

Income Insurance Limited; Singapore; On-site; SGD 60,000 - 80,000; Full time

Job summary

A leading insurance provider in Singapore is looking for an experienced claims officer to manage IncomeShield claim assessments, focusing on outpatient claims. The ideal candidate will possess a diploma or degree in any field, along with a Health Insurance certification and at least two years of individual claims processing experience. Responsibilities include investigating claims, preparing reports, and liaising with various stakeholders. This role emphasizes a team player with strong analytical skills and meticulous attention to detail.

Qualifications

• At least 2 years of individual claims experience, preferably in Shield claims.
• Strong analytical skills and accuracy in calculations.
• Must be a team player and self-motivated.

Responsibilities

• Process and assess IncomeShield claims, focusing on outpatient claims.
• Investigate claims to determine payable amounts based on policy.
• Compile and submit claims reports as required.
• Manage claimant enquiries and complaints.
• Liaise with intermediaries and external parties.

Skills

Claims processing

Analytical skills

Professional negotiation

Team player

Education

Diploma or Degree in any field

Certification in Health Insurance (HI)

Job description

The Life and Health Operations (LHO) department plays a pivotal role in ensuring we provide our customers with affordable and comprehensive life and health products, with efficient processes to allow optimal service to our customers.

As part of the team dedicated to manage IncomeShield claim assessment, your key responsibilities include:

• Processing and assessing all types of IncomeShield claims, with a specific focus on outpatient claims
• Assess policy liability, investigate claims and determine the claim amount payable based on Income's policy cover and management guidelines
• Compile, analyse and submit Claims reports as and when required
• To also prepare report on claims cases to be escalated to management and present cases at committee meetings
• Manage enquiries and complaints from claimants
• Liaison with intermediaries, hospitals and various external parties
• Undertake any other duties or projects as assigned by the Supervisor or Head of Section

Job Requirements

• At least obtained a Diploma or Degree in any field
• Certified in Health Insurance (HI)
• Have at least 2 years of individual claims experience. Experience in Shield claim processing and assessment will be an advantage
• Ability to professionally manage insurance claims enquiry and negotiations
• Good analytical skills, meticulous with a flair for numbers to handle complex computations
• Team player and self-motivated