Outpatient Claims Assessor (Remote)

ALLIANCE HEALTHCARE GROUP LIMITED; Singapore; Hybrid; SGD 40,000 - 60,000; Full time

Job summary

A healthcare management organization in Singapore is seeking dynamic professionals to join their claims team. The role involves accurately adjudicating claims, improving operational processes, and managing stakeholder relations. Candidates should possess a diploma, strong interpersonal skills, and a passion for driving change. This position requires a flexible work schedule and offers a blend of remote and on-site work environments.

Qualifications

• Able to work a Tuesday - Saturday or Sunday - Thursday schedule.
• Passionate about driving change to improve business outcomes.

Responsibilities

• Provide accurate and efficient adjudication of claims and validation.
• Conduct regular review of claims processes with internal stakeholders.
• Manage escalations and stakeholder relations.
• Provide ongoing training for effective claims management.
• Liaise with the Insurance Company to verify exceptions and resolve complaints.
• Conduct analysis, prepare reports and presentations when required.

Skills

Highly developed interpersonal skills

Excellent organisational skills

Exceptional eye for details

Exceptional communication skills

Stakeholder management skills

Education

Diploma in any discipline, preferably in healthcare management or business management

Job description

Overview

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business.

You will be required to go through a probation period of 3 months before commencing the remote role.

During the probation period, you are expected to work from office on a daily basis.

You will work on a remote basis after your probation period, with ad-hoc work from office days for meetings.

The Job

• Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational and SLA targets
• Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience
• Manage escalations and stakeholder relations
• Being a champion for change as well as providing on-going training and development for effective claims management.
• Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints
• Conduct analysis, prepare periodic reports and presentation when required

Requirements

• Diploma in any discipline, preferably in healthcare management or business management
• Highly developed interpersonal skills
• Excellent organisational skills and exceptional eye for details
• Passionate about driving change to improve business outcomes.
• Exceptional communication skills and stakeholder management skills
• Able to work a Tuesday - Saturday or Sunday - Thursday schedule

Interested applicants to click apply, or send in your resume to us.

Kindly note that only shortlisted candidates will be contacted.

To know more about our organisation, please visit www.alliancehealthcare.com.sg