Job Purpose
You will be handling insurance claims assessment under our health plans. You will also be given the opportunity to be part of an exciting team with involvement in service excellence initiatives and projects to improve the claims experience.
The Job
· Provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
· Handle claim investigation and claim appeals
· Review claims processes and participate in process improvement projects, initiatives and system enhancement for the department, including establish claims best practices
· Deliver excellent service and enhance customer and distribution channels relationship management
· Provide guidance to junior staff
· Any other ad-hoc duties as assigned by supervisor
· Take accountability in considering business and regulatory compliance risks and take appropriate steps to mitigate the risks
· Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company
· Highlight any potential concerns/ risks and proactively share best risk management practices
Our Requirements
· Degree or Professional Insurance Certificate with at least 5 years of relevant shield claims experience
· Mid-level claims assessors who are looking for greater exposures
· Strong knowledge on integrated shield claim processes and industry initiatives in managing medical claim cost
· Customer-centric and meticulous with the ability to work under pressure
· Strong analytical, written and communication skills
· Excellent interpersonal skills to effectively communicate with all stakeholders
· Good medical knowledge and ability to explain medical conditions in insurance context
· Good business acumen with long term vision
· A team player
· High level of integrity, take accountability of work and good attitude over teamwork
· Take initiative to improve current state of things and adaptable to embrace new changes
About Great Eastern
Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei.
The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of "AA-" by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia.
Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world’s most highly-rated banks, with an Aa1 rating from Moody’s and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World’s Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker.
To all recruitment agencies: Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.
