Job Description
- Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
- Handle medical report cases, claim investigation and appeals
- Seek clarifications and liaise with medical institutions and policyholders on outstanding requirements
- Deliver excellent service and enhance customer and distribution channels relationship management
- Attend to escalated claims enquiries
- Suggest and participate in process improvement projects/ initiatives/ system enhancement, including establish claims best practices
- Ensure compliance with internal and external regulatory and legal matter
- Any other ad-hoc projects 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
Job Requirement
- Diploma, Degree or Professional Insurance Certificate with at least 3 years of relevant accident and health claims experience
- Prior experience in nursing and life claims will be an added advantage
- Good medical knowledge and ability to explain medical conditions in insurance context
- Strong analytical, written and communication skills
- Customer-centric and meticulous with the ability to work under pressure
- 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
Interested candidates who wish to apply for the advertised position, please click on “Apply”. We regret that only shortlisted candidates will be notified.
EA License No.: 01C4394 (PERSOLKELLY Singapore PTE LTD)
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