Medical Claims Associate (6 Months Contract) #NKC

RECRUIT EXPRESS PTE LTD; Singapore; On-site; SGD 60,000 - 80,000; Full time

Job summary

A medical claims assessment company in Singapore is seeking a professional to assess claims accurately, engage with various stakeholders, and ensure compliance with internal policies. The ideal candidate should be adept at managing complex queries and conducting quality reviews on processed claims. Strong interpersonal skills are essential for this role, which involves liaising with medical institutions and providing support to customers. Interested applicants are invited to apply via email.

Qualifications

• Experience in assessing medical claims accurately and efficiently.
• Ability to liaise effectively with medical institutions and policyholders.
• Strong focus on quality checks to ensure compliance.

Responsibilities

• Assess medical claims for timely payouts and reserve adequacy.
• Engage with stakeholders to clarify requirements.
• Conduct quality reviews on processed claims.
• Provide responsive support to customers and partners.
• Address complex claims queries professionally.
• Adhere to internal policies and regulatory requirements.

Job description

Overview

Assess Medical Claims: Accurately and promptly assess medical claims, ensuring timely payouts and reviewing pending claims for reserve adequacy.

Engage with Stakeholders: Liaise with medical institutions and policyholders to clarify requirements and ensure smooth claims processing.

Quality Checks: Conduct quality reviews on processed claims to maintain accuracy and compliance.

Customer & Business Partner Relations: Provide responsive and empathetic support to customers and distribution channels, strengthening relationships.

Handle Escalated Enquiries: Address complex claims queries professionally and efficiently.

Ensure Compliance:

• Adhere to internal policies and regulatory requirements.
• Identify and mitigate business and compliance risks.
• Stay updated on industry trends and emerging regulatory risks.
• Highlight potential concerns and share best practices in risk management.

Interested applicants may email resume to [e-mail]

Chooi Kelly (CEI Registration No: R25136207)

Recruit Express Pte Ltd (EA: 99C4599)

We regret only shortlisted candidates will be contacted