Claims Executive

7 days ago


Singapore MHC MEDICAL NETWORK PTE. LTD. Full time
Roles & Responsibilities

Responsibilities:

  • Claims Assessment and Adjudication.
  • Assessment of Outpatient and Inpatient claims with accuracy and within SLA
  • Prompt handling of claims as well as Letter of Guarantee (LoG) enquiries and escalations at client's premises
  • Ensuring emails enquiries are well-managed and respond in a timely manner
  • Ensuring claim is assessed correctly in accordance with policy contract and guideline and approved within Authority Limit given
  • Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT)
  • Continuous communication with both internal and external customer and providing the required support with the objective of providing quality claim service experience
  • Assist to provide necessary information and ad-hoc assignment to Manager to allow for accurate and timely submission of reports to management
  • Investigate and escalate technical claim issue as and when experienced
  • To initiate improvement of process, workflows, or system on a continuous basis

Requirements:

  • Possess at least a Diploma in any discipline
  • Minimum of 2 years of related work experience in the insurance industry, preferably experience with handling medical claims
  • Proficient in Microsoft Office
  • Good analytical skills, meticulous with a flair for numbers to handle complex computations
  • Excellent verbal and written communication skills and interpersonal skills
  • Able to work independently, able to grasp processes and system quickly
  • Able to multi-task and work under pressure to meet tight deadlines in a face-paced environment
  • Strong customer orientation, team player
  • Insurance Certifications such as Certified in Health Insurance (HI), Basic Insurance Concepts and Principles (BCP), Personal General Insurance (PGI) are preferred
Tell employers what skills you have

Outlook
Casualty
Able To Multitask
Microsoft Office
Analytical Skills
Ability To Work Independently
Investigation
General Insurance
Team Player
Health Insurance
Customer Orientation
Able To Work Independently
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