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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.
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
- Liaise with intermediaries, hospitals and various external parties
- Undertake any other duties or projects as assigned by the Supervisor or Head of Section
Qualifications
- 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
Seniority level
Not Applicable
Employment type
Full-time
Job function
Other
Industries
Insurance
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