Outpatient Claims Specialist

Income; Singapore; On-site; SGD 50,000 - 70,000; Full time

Job summary

Income Singapore is hiring for a Life and Health Operations claims assessor role focused on IncomeShield outpatient claims. You will evaluate policy liability, process claims and prepare reports for management. The position requires HI certification and 2 years of claims experience.

You will work with intermediaries, hospitals and claims teams to resolve enquiries and ensure accurate settlements. Strong numerical and analytical skills are essential.

Qualifications

• Diploma or Degree in any field is required.
• Health Insurance (HI) certification is required.
• At least 2 years of individual claims experience; Shield claims experience is a plus.
• Ability to manage insurance claims enquiries and negotiations.
• Strong analytical skills with a numbers-oriented approach to complex computations.
• Team player with self-motivation.

Responsibilities

• Process and assess all IncomeShield claims, with a focus on outpatient claims.
• Assess policy liability and determine payable amounts based on policy cover and guidelines.
• Compile, analyze and submit Claims reports as required.
• Prepare reports on claims for escalation to management and present at committee meetings.
• Handle enquiries and complaints from claimants.
• Liaise with intermediaries, hospital staff and external parties.
• Undertake any other duties as assigned by Supervisor or Head of Section.

Skills

Analytical skills

Numerical ability

Team player

Self-motivated

Education

Diploma or Degree

Job description

Income Singapore is hiring for a Life and Health Operations claims assessor role focused on IncomeShield outpatient claims. You will evaluate policy liability, process claims and prepare reports for management. The position requires HI certification and 2 years of claims experience.

You will work with intermediaries, hospitals and claims teams to resolve enquiries and ensure accurate settlements. Strong numerical and analytical skills are essential.