Outpatient Claims Assessor (Remote)

ALLIANCE HEALTHCARE GROUP LIMITED; Singapore; Hybrid; SGD 45,000 - 65,000; Full time

Job summary

A leading healthcare company in Singapore is seeking dynamic professionals for their claims team. The role involves accurate adjudication of claims, improving processes for efficiency, stakeholder management, and conducting analyses. Candidates should possess a diploma in healthcare or business management and have strong interpersonal and organisational skills. This position offers a remote work opportunity after a mandatory office probation period.

Qualifications

• Highly developed interpersonal skills.
• Strong organisational skills and exceptional attention to detail.
• Ability to drive change and improve business outcomes.

Responsibilities

• Provide accurate adjudication of claims and meet operational targets.
• Review current claims processes and work on improvements.
• Manage stakeholder relations and escalations.

Skills

Interpersonal skills

Organisational skills

Communication skills

Education

Diploma 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 https://www.alliancehealthcare.com.sg