Senior Claim Operations Analyst
2 weeks ago
Do meaningful work with us. Every day.
At Amplify Health, we're looking for individuals with ambition, resilience and passion for healthcare, insurance, wellness and digital technology. As a fast-growing business with the ambition of making people and communities across Asia healthier, we have exciting career opportunities available to help us achieve our vision.
Working together with Health claims & Benefit product team, using healthcare domain knowledge, expertise on claim processing and related areas such as clinical operation, benefit codification, analytical skills and system thinking. Actively engage with the end customers, and build relationship with them, to make sure the products delivers value and solve customers' pain-points effectively. Responsible for providing expert guidance and support in the development and implementation of clinical coding solutions within the realm of product. This role requires in-depth knowledge of claim processing and related areas such as clinical coding standards, regulations, and best practices, as well as strong analytical skills to collaborate with product development team and end-users.
- Analyze and document the business & operational needs for the health claims software solution, ensuring alignment with industry standards, regulatory guidelines, and client needs.
- Collaborate with stakeholders, including clients, software developers, and product managers, to define the scope, objectives, and deliverables of the product modules.
- Conduct detailed analysis of existing processes and workflows related to health claims processing, clinical coding, and benefits administration.
- Identify gaps in operations & industry practices and recommend solutions to optimize operational efficiency and accuracy with compliance to regulatory requirements.
- Develop and maintain comprehensive documentation, including user-needs, functionalities, user stories, and acceptance criteria scenarios.
- Collaborate with the product development team to ensure that the solution meets the defined requirements to deliver value to customers and solve their pain-points.
- Provide subject matter expertise in clinical coding standards, including ICD, CPT, HCPCS, ATC, GMDN etc., to ensure accurate and compliant coding within the product.
- Conduct thorough analysis of business processes such as benefit definition, claim matching, etc. that involve clinical coding and workflows to build required capabilities from inception.
- Develop and maintain coding guidelines and documentation ensuring they align with industry standards and regulations.
- Conduct joint application design sessions with customers and product owners to map user needs to product features.
- Thorough understanding of the product offering and ability to localise it to new markets through defining localisation features.
- Ability to breakdown features into epics, stories, and task for development and groom the stories to meet the definition of ready as per agile best practices.
- Collaboration with business and systems architects on overall product feasibility and implementation standards.
- Conduct user acceptance testing to validate the functionality, usability, and performance of the software solution to meet the definition of done as per agile best practices.
- Stay up-to-date with industry trends, regulatory changes, and emerging technologies relevant to health claims processing and clinical coding
- Post go-live operationalisation support to client to facilitate migration, initial setup & provide training.
You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.
Tell employers what skills you haveMentoring
Usability
HCPCS
Analytical Skills
Legislation
CPT
Tax
Healthcare
User Stories
Architects
Wealth
Agile
Benefits Administration
User Acceptance Testing
Product Development
Regulatory Requirements
-
Senior Claims Analyst
1 month ago
SINGAPORE AXA Group Full timeSenior Claims AnalystSingaporeWe invent the new to help the world move forward. Combining powerful analytics and deeper insights with bigger ideas and innovative solutions, we free up our clients' potential, thereby fulfilling our own. Take it seriously. Make it fun. Know it matters.DISCOVER your opportunity · Proactive review, reconciliation, processing...
-
Senior Claims Analyst
4 weeks ago
SINGAPORE AXA Group Full timeSenior Claims AnalystSingaporeWe invent the new to help the world move forward. Combining powerful analytics and deeper insights with bigger ideas and innovative solutions, we free up our clients' potential, thereby fulfilling our own. Take it seriously. Make it fun. Know it matters.DISCOVER your opportunity · Proactive review, reconciliation, processing...
-
Claims Analyst
2 weeks ago
Singapore Swiss Re Full timeClaims AnalystAbout the RoleThis role will be instrumental in the implementation of a meaningful and relevant claims philosophy whilst promoting and sharing best practice claims management techniques with clients and internal stakeholders.Reporting to the Claims Manager of L&H Claims SEA, you will be responsible for the day-to-day operations supporting SEA...
-
Senior/ Manager, Business Operations
2 months ago
Singapore DOCTOR ANYWHERE OPERATIONS PTE. LTD. Full timeRoles & ResponsibilitiesAbout the teamDoctor Anywhere's Operations team is a crucial part of the company. We ensure the day-to-day excellence of our TPA business, virtual and in-person clinical services, resolving operational issues in a timely manner and providing the best customer experience possible. We make sure that our customers remain our top...
-
Claims Analyst
2 weeks ago
Singapore Swiss Re Full timeAbout the Role This role will be instrumental in the implementation of a meaningful and relevant claims philosophy whilst promoting and sharing best practice claims management techniques with clients and internal stakeholders. Reporting to the Claims Manager of L&H Claims SEA, you will be responsible for the day-to-day operations supporting SEA L&H Claims...
-
Claims Analyst
3 weeks ago
Singapore Swiss Re Full timeAbout the Role This role will be instrumental in the implementation of a meaningful and relevant claims philosophy whilst promoting and sharing best practice claims management techniques with clients and internal stakeholders. Reporting to the Claims Manager of L&H Claims SEA, you will be responsible for the day-to-day operations supporting SEA L&H Claims...
-
Claims Specialist/ Senior Claims Specialist
2 weeks ago
Singapore Allianz Full timeClaims Specialist/ Senior Claims SpecialistEntity: Allianz Insurance SingaporeKey Responsibilities Assess, evaluate and negotiate all Motor claims assigned and achieve settlement in a timely manner within the designated authority limit Handling of claim recoveries Liaison with service providers such as surveyors, investigators, lawyers, doctors and/or other...
-
Claims, Analyst
2 weeks ago
Singapore AIA Full timeAt AIA we've started an exciting movement to create a healthier, more sustainable future for everyone. It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ And to get there, we need...
-
Senior Claims Executive
2 months ago
Singapore GARD (SINGAPORE) PTE. LTD. Full timeRoles & ResponsibilitiesGard (Singapore) Pte Ltd is Singapore office of the Gard group, which is headquartered in Arendal Norway, and is the largest specialised marine insurance group globally.We are looking for a Senior Claims Executive to join our Singapore claims team, who is experienced in the handling of Hull & Machinery and P&I claims and related...
-
Claim Analyst
2 weeks ago
Singapore Vitol Full timeCompany DescriptionVitol is a leader in the energy sector with a presence across the spectrum; from oil through to power, renewables and carbon. It trades over 7 million barrels per day of crude oil and products and, at any time, has 250 ships transporting its cargoes.Vitol's clients include national oil companies, multinationals, leading industrial...
-
Senior/executive, Inpatient Claims
2 weeks ago
Singapore Doctor Anywhere Full timeAbout the teamDoctor Anywhere's Operations team is a crucial part of the company. We ensure the day-to-day excellence of our TPA business, virtual and in-person clinical services, resolving operational issues in a timely manner and providing the best customer experience possible. We make sure that our customers remain our top priority.About the roleWe are...
-
Quality Review and Audit Senior Analyst, Payment
2 weeks ago
Singapore Cigna Full timeQuality Review and Audit Senior Analyst - Payment Integrity FWA (Regional APAC Team)Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply...
-
Senior Executive, Claims
1 week ago
Singapore Marsh Full timeMarsh is seeking candidates for the following position based in the Singapore office:Senior Executive, Claims What can you expect?This will be an exceptional opportunity to collaborate and work with a leading global insurance broking firm who is looking to hire an Assistant Manager/Senior Executive proficient in (re)insurance claims handling.It will be a...
-
Senior Claims Consultant
2 weeks ago
Singapore HKA Birmingham Full timeAre you currently working as a claims consultant or trying to move into claims consultancy?We have the ideal opportunity for you.As part of the HKA team you can expect: Opportunity to work alongside and be mentored by our top Experts in both Quantum and Delay. You will also have the ability to pursue the route to become an accredited expert or a leader in...
-
Claim/Demurrage Analyst
2 months ago
Singapore ARAMCO TRADING SINGAPORE PTE. LTD. Full timeRoles & ResponsibilitiesThe Company:Aramco Trading was established as Saudi Aramco’s trading arm in 2011 under the approval of Saudi Aramco’s Board of Directors. It established its headquarters in Al-Midra Tower in Dhahran, Saudi Arabia and have 4 other global offices in London, Singapore, Dubai and America. With five offices currently operating...
-
Senior Executive, Non-Travel Claims
1 month ago
Singapore INCOME INSURANCE LIMITED Full timeRoles & ResponsibilitiesConsumer GI Operations is a team that supports the General Insurance (GI) operations at Income. We play a key role in GI Consumer Business by supporting our stakeholders in Underwriting, Policy Servicing and Claims processing. As a Senior Executive in our Non-Travel claims team, your key responsibilities include the following: ...
-
Senior Sales Operations Analyst
4 days ago
Singapore A DREAMWORKS COMPANY PTE LTD Full timePosition: Senior Sales Operations Analyst Location: Raffles Place, SingaporeWork Hours: 8am to 5pm, Monday to Friday. Some calls may be required during US time zone.Role Summary:Join our APJ Go to Market Team as a Senior Sales Operations Analyst, reporting to the APJ Managing Director. Your primary goal will be to enhance demand generation, sales...
-
Senior Sales Operations Analyst
2 weeks ago
Singapore A DREAMWORKS COMPANY PTE LTD Full timePosition: Senior Sales Operations Analyst Location: Raffles Place, SingaporeWork Hours: 8am to 5pm, Monday to Friday. Some calls may be required during US time zone. Role Summary: Join our APJ Go to Market Team as a Senior Sales Operations Analyst, reporting to the APJ Managing Director. Your primary goal will be to enhance demand generation, sales...
-
Senior Marine Claims Examiner
2 weeks ago
Singapore Berkshire Hathaway Specialty Insurance Full timeWho are we?A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of property, casualty and specialty insurance coverages, and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway's insurance operations, we bring our solutions to market with our stellar brand name,...
-
Claims Analyst – Oil Trade
1 month ago
Singapore DIRECT SEARCH ASIA PTE. LTD. Full timeRoles & ResponsibilitiesMain Responsibilities: Calculate and invoice demurrage and voyage-related claims incurred for each voyage, promptly with required documentation in accordance with the terms and conditions of the governing charter party Negotiate effectively to pursue collections of outstanding demurrages and claims escalation Liaise with Shipping...