Total 7 quality assurance job vacancies in Health / Beauty / Fitness category in D21 Upper Bukit Timah, Clementi Park, Ulu Pandan

In this role, you will work closely with the agency force and agency distribution team to drive Health sales, create sales opportunities, monitoring the sales activities and be the intermediary to all agency support functions. As part of this dynamic role, you will report to the Head of Health Distribution Strategy to drive a productive Agency Distribution for Health.

Job Description:

• Monitor agency sales through appropriate sales analyses and reports
• Be project IC / Lead for assigned Health initiatives and projects
• Create a culture of commitment and achievement
• Work closely with Agency distribution team to drive Health sales
• Assist in the development of sales initiatives to drive activities & performance
• Handle all issues and queries for the Agency Leaders (ALs) and Financial Consultants (FCs) to ensure alignment with PACS goals
• Be the Health Specialist handling product queries
• Develop positive business relationships with internal and external customers
• Manage and drive the implementation of process improvements
• Any other projects or tasks assigned

Who we are looking for:

Competencies & Personal Traits

• Exhibit ability to deliver effective communication and excellent interpersonal skills
• Possess strong leadership qualities and a mind towards excellence
• Strong stakeholder management skills in influencing and persuasion
• Dynamic individual who strives in fast moving environment
• Strong analytical & Excel skills
• Experience in performance management

Working Experience

• Sales experiences in the insurance industry preferably LIFE
• Agency Distribution experience
• Knowledge of MediShield Life and Integrated Shield

Professional Qualifications

• CMFAS M5, M9, M9A and HI certifications is preferred

Education

• Bachelor in Business or related fields of study

Language

• English

Job Description Summary

PRUShield Claims recovery is a key initiative for the Medical Portfolio Management team. It is the process of assisting customers in submitting claims to a third-party insurer. This role includes reaching out to customers via 2-way sms, follow up calls with customers and to follow through with the collation of medical receipts and report on behalf of the customer. The medical documentation is submitted to customer’s HR department and the team will complete the process by following through with the group insurers.

The primary objective of this role is to assist customers and financial consultants with the recovery process. In addition, the specialist must create awareness of the benefits of submitting a recovery claim.

This is an exciting opportunity for those keen on taking on a new challenge that will have a direct positive impact to our organisation’s bottom-line.

Job Description

Objectives for Medical Services Specialist

• Reporting to Medical Services Consultant, you will conduct daily outbound calls to customers and promote the benefits of a recovery claim.
• Achieve performance targets set, which include daily call productivity, contact rate, and success rate.
• Provide assistance to walk-in customers which will be based at our concierge offices/ counters located offsite in our private partner hospitals on PRUShield claims related enquiries including advice on third party recovery and its benefits.
• Collect the patient consent forms of customers who have been admitted to our partner hospitals.
• Reach out to customers who have given their consented to be contacted to offer assistance with claims and also issue transportation vouchers who qualify.

Role & Responsibilities

• Ensure SOP are followed when handling outbound and inbound calls to customers at all times.
• Daily reporting to Medical Services Consultant on call activity and outcomes. Provide end to end support for each case handled.
• Ability to assist customers on their recovery claims process.
• Reply to emails related to claims recovery and concierge services and answer hotline calls.
• Attend service and product trainings or any other trainings as and where required.
• Adhere to standard operating procedures for customer data privacy and protection.
• Provide Team Lead with feedback from customers and financial consultants.
• Adhere to company’s code of conduct.
• Provide on-site concierge services at private panel hospital
• Achieve PRUShield Recovery performance targets set; which include daily call productivity, contact rate, and success rate.

KPIs

You will be required to:

• Make 20-30 outbound calls daily
• Meet the set target for submission of claims to third party insurers
• Meet the set target for recovery payments received from third party insurers
• Attend to calls and emails pertaining to third party recovery and concierge matters within the agreed TATs

Qualifications / Criteria

• Friendly, proactive and service oriented individual.
• Team player and enjoys being in a target driven team.
• Two years’ experience with outbound or in-bound call centre environment.
• One to two years’ experience in integrated shield or life insurance preferred.
• Poly diploma, GCE A level or relevant work experience.
• Life insurance qualifications – Certificate in Life & Health Insurance.

Job Purpose

You will be handling insurance claims assessment under the accident and health plans. You will also be given the opportunity to be part of an exciting team with involvement in customer service initiatives and projects to improve the claims experience.

The Job

• 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 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

Our Requirements

• Diploma, Degree or Professional Insurance Certificate with at least 3 years of relevant accident and health claims experience
• Prior experience in life and PA 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

About Great Eastern

Established in 1908, Great Eastern places customers at the heart of everything we do. Our legacy extends beyond our products and services to our culture, which is defined by our core values and how we work. As champions of Integrity, Initiative and Involvement, our core values act as a compass, guiding and inspiring us to embrace the behaviours associated with each value, upholding our promise to our customers - to continue doing our best for them in a sustainable manner.

We work collaboratively with our stakeholders to look for candidates who exhibit or have the potential to embrace our core values and associated behaviours, as these are the key traits that we expect from our employees as they develop their careers with us.

We embrace inclusivity, giving all employees an equal opportunity to shine and play their role in exploring possibilities to deliver innovative insurance solutions.

Since 2018, Great Eastern has been a signatory to the United Nations (UN) Principles of Sustainable Insurance. Our sustainability approach around environmental, social, and governance (ESG) considerations play a key role in every business decision we make. We are committed to being a sustainability-driven company to achieve a low-carbon economy by managing the environmental footprint of our operations and incorporating ESG considerations in our investment portfolios; improving people’s lives by actively helping customers live healthier, better and longer; and drive responsible business practices through material ESG risk management.

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.

Job Purpose

You will be responsible for the benefit mapping/ claim tagging/ claim assessment under the health plan. 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 health claims within the required service standards including data benefit mapping/ claim tagging and ensure that claims are paid accurately and promptly
• Seek clarifications and liaise with policyholders on outstanding requirements
• Attend to claims enquiries
• Ensure compliance with internal and external regulatory and legal matter
• 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

• Diploma, Degree or Professional Insurance Certificate with at least 1 years of relevant accident and health claims experience
• Prior experience in life claims will be an added advantage
• 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

About Great Eastern

Established in 1908, Great Eastern places customers at the heart of everything we do. Our legacy extends beyond our products and services to our culture, which is defined by our core values and how we work. As champions of Integrity, Initiative and Involvement, our core values act as a compass, guiding and inspiring us to embrace the behaviours associated with each value, upholding our promise to our customers - to continue doing our best for them in a sustainable manner.

We work collaboratively with our stakeholders to look for candidates who exhibit or have the potential to embrace our core values and associated behaviours, as these are the key traits that we expect from our employees as they develop their careers with us.

We embrace inclusivity, giving all employees an equal opportunity to shine and play their role in exploring possibilities to deliver innovative insurance solutions.

Since 2018, Great Eastern has been a signatory to the United Nations (UN) Principles of Sustainable Insurance. Our sustainability approach around environmental, social, and governance (ESG) considerations play a key role in every business decision we make. We are committed to being a sustainability-driven company to achieve a low-carbon economy by managing the environmental footprint of our operations and incorporating ESG considerations in our investment portfolios; improving people’s lives by actively helping customers live healthier, better and longer; and drive responsible business practices through material ESG risk management.

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.

Job Summary:

In this role, you will be responsible for providing support to the medical underwriting team on all related activities for Enterprise Business. You will report to the Team Lead of Enterprise Business Operations in supporting all key underwriting related activities for the EBO business within department’s agreed service standard and turnaround time.

Job Description:

• To handle underwriting administrative work including but not limited to letter issuance and mailing, documents receiving and filing, cheque issuance for medical payment.
• To handle enquiries from clients, distribution channels, and different stakeholders to provide support and servicing on matters relating to underwriting.
• To ensure all the underwriting records/ tracking are correctly updated.
• To involve in ad-hoc underwriting related system enhancements or projects
• To assist with adhoc admin duties as per required

Working Experience:

• 1 year working experience with insurers or insurance related industry.
• Fresh graduates are welcome.

Requirements:

• Proficient in MS Office.
• Good team-work and multitasking capabilities
• Self-motivated and keen learner

Education:

• ITE, Diploma or Degree

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

As a health analytics manager, you will support the objectives of Prudential's health strategy, develop a roadmap and use cases that align with it, and lead the delivery of health analytics products. You will work closely with data science and data engineering teams to leverage data and insights to improve health outcomes and customer experience. You will also collaborate with business stakeholders and external partners to understand their needs and provide actionable recommendations.

Job Description:

• Define and execute the health analytics strategy and roadmap, ensuring alignment with Prudential's health vision and goals.
• Manage the end-to-end delivery of health analytics products, from ideation to deployment, ensuring quality, timeliness, and scalability.
• Work with data science and data engineering teams to design, develop, and test data models, algorithms, and pipelines that support health analytics use cases.
• Work with business stakeholders and external partners to understand their requirements, challenges, and opportunities, and provide data-driven solutions and insights.
• Communicate and present health analytics findings and recommendations to senior management and relevant audiences, using clear and compelling visualizations and narratives.
• Stay abreast of the latest trends, technologies, and best practices in health analytics, and identify opportunities for innovation and improvement.

Who we are looking for:

• Bachelor's degree or higher in data analytics, data science, statistics, mathematics, computer science, or related field.
• At least 8-10 years of experience in data analytics, data science, or related role in the insurance or health industry.
• Familiarity with end-to-end analytics solutions build and servicing, code writing, and code testing best practices is essential.
• Experience in translating business problems into data and analytics solutions and influencing senior stakeholders and business partners in their adoption.
• Communication and presentation abilities to convey complex technical concepts to non-technical stakeholders.
• Proficiency in programming languages and tools (e.g. Python, SQL, Spark)
• Understanding of cloud-based data platform and analytics technologies (e.g., Azure, Databricks, MLflow)
• Ability to work independently and in a team, and to handle multiple tasks and deadlines.
• Passionate about improving health outcomes and customer experience through data and analytics.

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part-time / fixed-term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade, job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.

PRUShield Claims recovery and PRUShield Policy Management are two main key initiatives for the Medical Portfolio Management team. Under PRUShield Claims recovery, our team assists customers in submitting claims to a third-party insurer. This role includes reaching out to customers when their PRUShield claims have been approved, follow up calls with customers and to assist customers with the collation of medical receipts and reports on behalf of the customer. The claims documentation and requirements are submitted to customer’s HR department or group insurer and the team will complete the process by following through with the group insurers.

The primary objective of this role is to assist customers and financial consultants with the recovery process. In addition, the specialist must create awareness of the benefits of submitting a recovery claim.

Under PRUShield Policy Management, you will perform a series of end-to-end policy transaction requests across the PRUShield Policy Management Team. The requests are Reinstatement, Upgrade, Downgrade, Conversion, Change of Payor, Termination, etc.

This is an exciting opportunity for those keen on taking on a new challenge that will have a direct positive impact to our organization's bottom-line.

Medical Services Specialist

• Reporting to Senior Shield Consultant, you will conduct daily outbound calls to customers and promote the benefits of a recovery claim.
• Achieve performance targets set; which include daily call productivity, contact rate, and success rate.
• Process end to end policy transaction requests in accordance to guidelines, service standard and quality
• Perform policy assessment and judgment on policy changes
• Follow up with customers on transaction requests
• Provide support and services to Financial Consultants (FC) on Policy Servicing matters
• Handle appeals and cases escalated from FC and customer complaints

PRUShield Recovery:

• Ensure SOP are followed when handling outbound and inbound calls to customers at all times.
• Daily reporting to PRUShield Recovery Team Lead on call activity and outcomes.
• Provide end to end support for each case handled.
• Ability to assist customers on their recovery claims process.
• Attend service and product trainings or any other trainings as and where required.
• Adhere to standard operating procedures for customer data privacy and protection (PDPA).
• Provide Team Lead with feedback from customers and financial consultants.
• Adhere to company’s code of conduct.
• Provide administrative support such as arranging courier, collecting courier, scanning and printing documents.

PRUShield Policy Management:

• Process Shield Policy transaction requests such as Reinstatement, Upgrade, Downgrade, Conversion, Change of Payor, Termination, etc, ensuring that TAT and Productivity KPIs are met
• Adhere to all SOPs, guidelines, PDPA, are met
• Ability to use SAP to reply to email enquiries from Call Centre
• Perform policy assessment whether the transaction requests can be processed. Ensure all checks are in place such as signatures, policy number, policyholder name, etc.
• Under the PRUShield products and CPF policy guidelines

You will be required to:

• Make 20-30 outbound calls daily
• Meet the set target for submission of claims to third party insurers
• Meet the set target for recovery payments received from third party insurers
• Attend to calls and emails pertaining to third party recovery within the agreed TATs
• Process between 10-15 PRUShield policy requests a day

Who we are looking for:
Competencies & Personal Traits

• Meticulous, able to process backend systems with accuracy
• A keen learner and able to work independently
• Friendly, proactive and service oriented individual with good interpersonal and communication skills
• Problem solving skills and a great team player who enjoys being in a target driven team
• Team player and enjoys interacting with customers

Working Experience

• At least two years’ experience in a customer service capacity or outbound/ in-bound call centre environment
• One to two years’ experience in integrated shield/ life insurance/ claims will be advantageous

Professional Qualifications

• Life insurance qualifications – Certificate in Life & Health Insurance will be an added advantage
• Proficient in MS Office such as Word and Excel

Education

• Poly diploma, GCE A level or relevant work experience

Language

• Strong command of the English language

Professional Qualifications

• • Life insurance qualifications – Certificate in Life & Health Insurance will be an added advantage

Education

• • Poly diploma, GCE A level or relevant work experience

Language

• • Strong command of the English language