Senior Executive, Claims

Income; Singapore; Hybrid; SGD 60,000 - 90,000; Full time

Job summary

Income is seeking a Claims Specialist in Singapore to adjudicate life and medical claims within policy terms. You will review medical evidence, policy docs, and investigations to determine claim validity, engaging with policyholders and providers for timely resolutions.

Escalation of complex cases to the Claims Manager, handling appeals and complaints, and contributing to process improvements with strong analytical and stakeholder-management skills.

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

Customer service

Stakeholder management

Analytical thinking

Time management

Education

Bachelor's degree

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.