Executive, IS Opt Claims

Income Insurance Limited; Singapore; On-site; SGD 48,000 - 72,000; Full time

Benefits offered by this job

Health insurance

Job summary

Income Insurance Limited is seeking a Claims Analyst for IncomeShield within the Life and Health Operations team in Singapore. You will process and assess outpatient income shield claims, scrutinize policy liability and determine payable amounts per guidelines.

We value candidates with a Diploma or Degree and HI certification, at least two years of claims experience, and strong analytical skills. You will work with a team to manage inquiries and liaise with intermediaries and hospitals.

Qualifications

• At least a Diploma or Degree is required.
• Certified in Health Insurance (HI).
• Minimum 2 years of individual claims experience; Shield processing an advantage.
• Ability to manage insurance claims enquiries and negotiations.
• Strong analytical skills with attention to numbers.

Responsibilities

• Processing and assessing IncomeShield claims, with a focus on outpatient claims.
• Assess policy liability, investigate claims and determine the claim amount payable per guidelines.
• Compile, analyse and submit Claims reports as required.
• Prepare reports on claims cases to escalate to management and present at committee meetings.
• Manage enquiries and complaints from claimants.
• Liaison with intermediaries, hospitals and external parties.
• Undertake any other duties or projects as assigned by Supervisor or Head of Section.

Skills

Claims assessment experience

Analytical skills

Negotiation

Teamwork

Education

Diploma or Degree

HI certification

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

Qualification

• 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