Executive / Senior Executive, Claims (Accident & Health)

3 weeks ago


Singapore Eq Insurance Company Ltd. Full time
Responsibility
  • Provide accurate and timely assessment of Accident & Health insurance claims within prescribed turnaround time
  • Evaluate and negotiate the resolution of claims, while mitigating damages to achieve cost-effective claim outcomes
  • Obtain reserving, settlement and payment authority in accordance with authority level within applicable Service Level Agreement
  • Determine settlement amount and resolve claims settlement disputes using various mechanism such as arbitration and mediation (if any)
  • Manage appeal process for rejected claims
  • Detect potential fraudulent claims in line with organization policies and procedures
  • Manage customer communications on claims matter
  • Liaise with third party service providers and resolve issues in connection with claims processes and procedures
  • Conduct regular file review
  • Exercise good claims management to achieve a desired claims result
Requirement
  • At least Diploma and above
  • Possess Certificate in General Insurance and Health Insurance certificate
  • At least 1 year of claims assessment experience
  • At least 5 years of claims assessment experience ( for Senior Executive)
  • Qualifications in Medical related courses or Experience in handling Medical Claims will be an added advantage
  • Good communication, problem-solving, analytical and negotiation skills
  • Team Player


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