Job Description
- Adjudicate Accident & Health (A&H) claims and ensure delivery of prudent and equitable claims decision within expected service level (i.e. claims turnaround time).
- Compliant with regulatory requirements, corporate guidelines, policy wording and reinsurance terms.
- Work closely with underwriters and other business units to ensure that claims are processed accurately and that all service level agreements are met.
- Manage working relation with external parties – Central Provident Fund Board (CPFB), regulator, financial consultants, bancassurance partners, medical institutions, etc.
- Manage investigation of claims by working with claims adjusters, legal advisors, medical institutions, claimants, financial consultants, and other insurers to determine claims decision and payment.
- Manage enquiries, service recovery, complaints and appeal arising from claims.
- Follow up with claimants and medical institutions on any outstanding requirements required for claims adjudication through documented follow-up process and provide regular update on claims status.
Job Requirements
- At least 2-5 years of experience in managing claims operations
- Minimum Diploma/Degree & above
Qualified candidates may submit a copy of detailed resume in MS Word Format to [email protected]
Charissa Ong Zimin (R1104659)
Email address: [email protected]
Recruit Express Pte Ltd
EA License No.: 99C4599
