Outpatient Claims Specialist – IncomeShield

Income-Insurance-Limited; Singapore; On-site; SGD 42,000 - 65,000; Full time

Job summary

Income-Insurance-Limited’s Life and Health Operations team is seeking a Claims Specialist to manage IncomeShield claim assessment, with a focus on outpatient claims. You will evaluate policy liability and determine payable amounts guided by policy cover and guidelines.

You will also compile claims reports, escalate cases to management, and liaise with intermediaries, hospitals and external parties while handling enquiries from claimants and supporting the supervisor or Head of Section.

Qualifications

• Diploma or degree in any field.
• Certified in Health Insurance (HI).
• At least 2 years of individual claims experience.
• Experience with IncomeShield claim processing is an advantage.
• Ability to manage insurance claims enquiries and negotiations.
• Strong analytical and numerical skills.
• Team player and self-motivated.

Responsibilities

• Process and assess IncomeShield outpatient claims.
• Assess policy liability and determine payable amounts per guidelines.
• Compile, analyse and submit claims reports as required.
• Prepare reports on claims escalated to management and presented at meetings.
• Handle enquiries and complaints from claimants.
• Liaise with intermediaries, hospitals and external parties.
• Undertake other duties or projects as assigned by supervisor or Head of Section.

Skills

Analytical skills

Numerical ability

Team player

Self-motivated

Education

Diploma or Degree

HI Certification

Job description

Income-Insurance-Limited’s Life and Health Operations team is seeking a Claims Specialist to manage IncomeShield claim assessment, with a focus on outpatient claims. You will evaluate policy liability and determine payable amounts guided by policy cover and guidelines.

You will also compile claims reports, escalate cases to management, and liaise with intermediaries, hospitals and external parties while handling enquiries from claimants and supporting the supervisor or Head of Section.