Life Claim Ops Specialist

QUESSCORP SINGAPORE PTE. LTD.; Singapore; On-site; SGD 80,000 - 100,000; Full time

Job summary

A leading insurance firm in Singapore seeks a Senior Executive/Assistant Manager to oversee claim operations and support life and medical product reviews. The role involves project management, stakeholder engagement, and continuous process improvement in claim handling. Qualified candidates should have over 5 years in Life Claims, possess strong analytical and communication skills, and be adept at managing multiple tasks under pressure. This position offers opportunities for professional growth and impact in claims administration.

Qualifications

• 5+ years of experience in Life Claims.
• Strong background in life, medical, and long-term care claim processes.
• Effective communicator with strong policy interpretation skills.

Responsibilities

• Manage projects and provide central claims support.
• Conduct product review for life and medical products.
• Serve as a Claim Subject Matter Expert.
• Engage stakeholders on impacts of system changes.

Skills

Life Claims management

Medical Claims knowledge

Critical thinking

Communication skills

Analytical skills

Education

Diploma/Degree in relevant field

Job description

As a Senior Executive/Assistance Manager of the Claim Operation Specialist unit, you will be responsible for managing projects and providing central claims support which include life and health product reviews, system support, governance, peer reviews, and continuous improvement to claim operations. You will be attached to the Claim Operation Specialist Unit and report to the Section Lead. You will work closely with the claim processing team to ensure operational targets are met and will have chance to cross trained on other claim types where possible.

Responsibilities

• Product Review (Life and Medical Products)
  • Perform Review of Contract and Product Specification, including providing requirements for system changes, coordinating/solicit teams inputs, workgroup discussions on medical and life claims.
  • Be part of the product implementation workgroup and have opportunity work with various internal and/or external parties.
• System Support
  • Serves as a Claim Subject Matter Expert, as a liaison and reference point between Claim Business and the Business Analyst (BA)/Technical analyst, ensuring that the business requirement are translated to functional requirements.
  • Conduct prioritization with BA and IT on system enhancements.
  • Support all production issues, rectifications, data patches/configuration changes or tasks that requires some testing etc.
  • Involved in ongoing requirement gatherings.
  • Review impact/process changes due to system changes.
  • UREQ/BSD review from claim business user perspective.
• Engagement, communication & briefing to stakeholders on impact areas in relation to system/product/benefit changes
• Governance
  • Management of work instructions and documentation control.
  • Ensure governance and due diligence over claim processes and services engaged by Claims Section.
• Perform claim peer review inspection
• Review and suggest process improvements for developing or implementing best practices. Lead and participate in operation efficiency projects to bring efficiency to claims processes
• Support the Claims team in any compliance reporting, monitoring/reporting of exceptions, claim financial tracking, planning, and strategizing of claims management and other related duties
• Work closely and maintain good rapport with representatives (financial consultants, advisers, brokers, etc.), officers and staff of other departments to carry out his/her work effectively
• Communicate effectively with reinsurers, auditors and external stakeholders such as the CPF Board, and hospitals, clinics, nursing homes in the course of claims administration or audits
• Conduct Claims Workshops to financial advisors when the need arises
• Undertake any projects or duties, including administrative duties, as assigned by Section Manager or Head of Function

Qualifications

• Diploma/Degree holder with 5 or more years of experience in Life Claims
• Strong background in Life, Medical, Long Term Care claim processes
• Strong policy language skills enabling accurate and consistent policy wording interpretation
• Strong critical thinking skills and ability to handle complex computations
• Strong written and communication skills, committed team player
• Ability to work under pressure and manage deadlines
• Meticulous with good analytical, organizational skills
• Able to multi-task and work independently
• Customer centric