Senior Executive, Claims

Income Insurance Limited; Singapore; On-site; SGD 60,000 - 95,000; Full time

Job summary

Income Insurance Limited in Singapore seeks an experienced claims professional to adjudicate life and medical claims, review medical evidence, and determine claim validity. The role involves handling escalations, appeals, and complaints while maintaining excellent service standards.

The ideal candidate has at least 3 years in life or medical claims, relevant health and general insurance certifications, and strong analytical skills with attention to detail.

Qualifications

• Degree in any discipline.
• At least 3 years of experience in Life or Medical Claims handling.
• Certification in Health Insurance and General Insurance (BCP, PGI & ComGI) and Life Insurance qualifications.
• Ability to review and interpret medical reports, hospital bills, policy contract provisions, and investigation findings.
• Excellent communication and interpersonal skills.
• Good customer service, complaint-handling, and stakeholder management skills.
• Strong analytical, investigative, organizational, and time management skills, with attention to detail.

Responsibilities

• Assess and adjudicate Life and Medical claims within authority limits in accordance with policy terms and conditions.
• Conduct claims investigations where necessary, including reviewing medical evidence, policy documentation, and other relevant information to determine claim validity.
• Identify, investigate, and escalation complex claims to the Claims Manager for further review.
• Handle escalation enquiries from policyholders, intermediaries, healthcare providers, and internal stakeholders, providing timely and professional resolutions.
• Handle appeals, complaints, and disputed claims, ensuring fair and consistent outcomes while maintaining a positive customer experience.
• Support continuous improvement initiatives and contribute to enhancing claims processes and customer service standards.
• Perform any other duties as assigned by the Claims Manager.

Skills

Communication skills

Interpersonal skills

Customer service

Stakeholder management

Education

Degree in any discipline

Job description

Job Description

• Assess and adjudicate Life and Medical claims within authority limits in accordance with policy terms and conditions.
• Conduct claims investigations where necessary, including reviewing medical evidence, policy documentation, and other relevant information to determine claim validity.
• Identify, investigate, and escalation complex claims to the Claims Manager for further review.
• Handle escalation enquiries from policyholders, intermediaries, healthcare providers, and internal stakeholders, providing timely and professional resolutions.
• Handle appeals, complaints, and disputed claims, ensuring fair and consistent outcomes while maintaining a positive customer experience.
• Support continuous improvement initiatives and contribute to enhancing claims processes and customer service standards.
• Perform any other duties as assigned by the Claims Manager.

Job Specification

• Degree in any discipline.
• At least 3 years of experience in Life or Medical Claims handling.
• Certification in Health Insurance and General Insurance (BCP, PGI & ComGI) and Life Insurance qualifications.
• Ability to review and interpret medical reports, hospital bills, policy contract provisions, and investigation findings.
• Excellent communication and interpersonal skills.
• Good customer service, complaint-handling, and stakeholder management skills.
• Strong analytical, investigative, organizational, and time management skills, with attention to detail.