Executive, Outpatient Claims

Income Insurance Limited; Singapore; On-site; SGD 36,000 - 60,000; Full time

Job summary

Income Insurance Limited in Singapore is seeking a Claims Assessment professional to join the Life and Health Operations team, focusing on IncomeShield outpatient claims.

You will review policy cover, assess liability, determine payable amounts, and prepare reports for escalation to management, while liaising with hospitals and intermediaries.

Diploma or degree, HI certification, and 2+ years of claims experience are required or advantageous.

Qualifications

• Diploma or Degree in any field.
• Certified in Health Insurance (HI).
• At least 2 years of individual claims experience.
• Experience in Shield claim processing and assessment is an advantage.

Responsibilities

• 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
• 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

Skills

Analytical skills

Attention to detail

Team player

Negotiation

Education

Diploma or Degree in any field

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