Group Claims Analyst — Medical & Overseas Claims

Recruit Express Pte Ltd; Singapore; On-site; SGD 42,000 - 58,000; Full time

Job summary

Recruit Express Pte Ltd in Singapore seeks a Claims Officer to review and assess local and overseas medical and non-medical claims within policy terms and authority limits.

You will coordinate with medical providers, policyholders and stakeholders, approve pre-authorisations, handle failed bank transfers and CPF issues, and ensure clear communication of claims decisions while leveraging core systems and vendors’ platforms.

Qualifications

• Completion of Health Insurance Certificate, M5 & M9 is preferred.
• Min Diploma or Degree with 2-3 years of relevant working experience.
• Good Microsoft Office Skills.

Responsibilities

• Review and assess local and overseas medical and non-medical claims within policy terms and conditions and claims authority limit within stipulated turnaround time.
• Review and approve Pre-Authorisation within policy terms and conditions and benchmark.
• Coordinate with medical providers, policyholders, and other stakeholders for additional information when necessary.
• Handle follow-ups on claims with unsuccessful bank transfers and CPF failures, such as voiding claims, creating refund entry and reprocessing of claims.
• Assess claims using Group Insurance core systems, other business systems including vendors’ systems.
• Communicate claims decision clearly.

Education

Diploma or Degree

Tools

Microsoft Office

Job description

Recruit Express Pte Ltd in Singapore seeks a Claims Officer to review and assess local and overseas medical and non-medical claims within policy terms and authority limits.

You will coordinate with medical providers, policyholders and stakeholders, approve pre-authorisations, handle failed bank transfers and CPF issues, and ensure clear communication of claims decisions while leveraging core systems and vendors’ platforms.