Purpose of the Role
- Assess and process local and overseas claims from both hardcopy and electronic claim submissions.
- Handle follow-ups on claims with unsuccessful bank transfers.
- Request and follow-up on the creation of insured members and medical service providers for affected claims.Prepare claim settlement letters and scan claims documents to shared drive.
- § Update Statements of Accounts relating to hospital bills settlements.
- Manage and reply emails for common mailboxes.
- Following up with clinics/ hospital for enquiries on billing details.
- Other assigned tasks, for example report preparations, finance and payment activities, etc.
Key Responsibilities
- Assess claims using Group Insurance core systems, other business systems including vendors’ systems.
- Communicate claims decision clearly.
- Response to queries in a timely manner
- Manage his/her workload to achieve required service levels
- Arrive at customer orientated outcomes by working with key stakeholders.
- Participate in activities that improve processes, productivity, and services and solutions to customers.
- Engage key stakeholders when handling appeal cases or complex cases.
- Establish good working relationship with intermediaries and clients.
Requirements
Experience
- Familiar with group insurance products like Group Term Life, Group Personal Accident, Group Disability Income, Group Critical Illness, Group Hospitalisation & Surgical and Group Outpatient
- Group Claims Experience of at least 3 years, Good Oral & Written Communication.
Interested applicants please email your resume to [email protected]
Ivy Tham Yi Ru (R1104692)
Recruit Express Pte Ltd (EA Number: 99C4599)
