Health Claims Assessor: Precision & Impact

AMBITION GROUP SINGAPORE PTE. LTD.; Singapore; On-site; SGD 70,000 - 90,000; Full time

Job summary

AMBITION GROUP SINGAPORE PTE. LTD. is seeking a Claims Assessment specialist for a two-year contract to review Shield claims, ensure timely decisions, and maintain compliance with internal policies and regulatory requirements.

The role involves liaison with hospitals for medical clarification and handling enquiries and service recovery matters. The candidate should have two years of experience in life and health claims assessment, a biology or life sciences degree, and OMA/FLMI qualifications.

Qualifications

• Two years of experience assessing life and health insurance claims.
• A degree in biology or a life sciences discipline.
• OMA and FLMI (Fellow, Life Management Institute) qualifications.

Responsibilities

• Review, assess and approve Shield claims within agreed turnaround times, ensuring accuracy and compliance with internal policies and regulatory requirements.
• Handle claims investigations, enquiries and service recovery matters.
• Liaise with hospitals and clinics to obtain medical clarification for claims assessment.
• Respond to customer enquiries and resolve complaints professionally.
• Participate in projects assigned by your supervisor.

Skills

Claims assessment

Regulatory compliance

Anatomy knowledge

Education

Biology or Life Sciences degree

OMA

FLMI

Job description

AMBITION GROUP SINGAPORE PTE. LTD. is seeking a Claims Assessment specialist for a two-year contract to review Shield claims, ensure timely decisions, and maintain compliance with internal policies and regulatory requirements.

The role involves liaison with hospitals for medical clarification and handling enquiries and service recovery matters. The candidate should have two years of experience in life and health claims assessment, a biology or life sciences degree, and OMA/FLMI qualifications.