Executive/Senior Executive, Claims

Alliance Healthcare Group Limited; Singapore; On-site; SGD 100,000 - 125,000; Full time

Job summary

A corporate managed healthcare firm in Singapore is looking for dynamic professionals to join its Claims team. The role involves accurate adjudication of medical claims and managing stakeholder relations. Candidates should have strong technical understanding of claims processes, excellent organizational skills, and a passion for driving change. This position offers the opportunity to improve claims efficiency and deliver exceptional service in the healthcare sector.

Qualifications

• Strong technical understanding of medical claims processes in a healthcare environment.
• Highly developed interpersonal and communication skills.
• Exceptional organizational skills with attention to detail.

Responsibilities

• Provide accurate adjudication of claims and issue Letters Of Guarantee.
• Review claims processes and work with stakeholders to improve them.
• Manage escalations and maintain stakeholder relations.
• Lead change initiatives and provide ongoing training.

Skills

Claims process understanding

Interpersonal skills

Organizational skills

Change management

Communication skills

Job description

About the Opportunity

We are seeking for dynamic professionals to join our Claims team in our corporate managed Healthcare business.

What You’ll Be Doing

• Provide accurate and efficient adjudication of claims, validation, pre-authorization of applications and Letter Of Guarantee (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.

What We Are Looking for

• Strong technical understanding of the claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment.

• Highly developed interpersonal skills.

• Excellent organizational skills and exceptional eye for details.

• Passionate about driving change to improve business outcomes.

• Exceptional communication skills and stakeholder management skills.

We regret to inform that only shortlisted applicants will be notified for an interview.

To learn more about our Organization, please visit https://alliancehealthcare.com.sg.