Outpatient Claims Assessor (Remote)

Alliance Healthcare Group; Singapore; Hybrid; SGD 60,000 - 80,000; Full time

Job summary

A healthcare organization in Singapore is seeking professionals for its claims team. The role involves adjudicating medical claims, managing stakeholder relationships, and improving claims processes. Candidates should have strong technical knowledge of claims, excellent communication skills, and be KPI-driven. The position offers a remote work model after a probation period. A Tuesday to Saturday or Sunday to Thursday work schedule is required.

Qualifications

• Experience in a Third-Party Administrator/Managed Healthcare environment preferred.
• Ability to work a Tuesday to Saturday or Sunday to Thursday schedule.
• Passionate about driving change to improve business outcomes.

Responsibilities

• Provide accurate adjudication of claims to meet operational targets.
• Review claims processes and develop new improved methods.
• Manage escalations and stakeholder relations.
• Liaise with Insurance Companies to resolve complaints.
• Conduct analysis and prepare reports as needed.

Skills

Strong technical understanding of the claims process

Highly developed interpersonal skills

Excellent organisational skills

Exceptional eye for details

KPI Driven

Excellent communication skills

Stakeholder management skills

Job description

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

Strong technical understanding of the claims process for medical claims, preferably in a Third‑Party Administrator/Managed Healthcare environment

Highly developed interpersonal skills

Excellent organisational skills and exceptional eye for details

Passionate about driving change to improve business outcomes.

KPI Driven (targets are required to be met as a requirement for the remote position)

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

Be careful – Don’t provide your bank or credit card details when applying for jobs. Don’t transfer any money or complete suspicious online surveys. If you see something suspicious, report this job ad.