Claims Specialist

2 weeks ago


Singapore beBeeClaims Full time $56,789 - $90,123
Job Summary:
As a Claims Specialist, you will play a vital role in our organization's mission to provide exceptional claims experience by streamlining processes and improving efficiency.

Key Responsibilities:
  • Conduct regular reviews of current claims processes and develop new and improved processes to enhance our operational excellence.
  • Effectively manage escalations and stakeholder relations to ensure seamless communication and conflict resolution.
  • Provide ongoing training and development to enhance the skills of our claims management team.
  • Liaise with insurance companies to verify exceptions and resolve complaints in a timely manner.
  • Ensure claim settlement is concluded within the agreed turnaround time, adhering to regulatory compliance standards.
  • Verify data entry processes for accuracy and adherence to our quality control measures.

Requirements:
  • Strong technical knowledge of medical claims processing, including regulations and industry standards.
  • Excellent interpersonal skills for effective stakeholder management and conflict resolution.
  • Superior organizational skills and attention to detail to ensure accuracy and timeliness in claims processing.
  • A passion for driving change and improving business outcomes through process improvements and strategic planning.
  • Exceptional communication and stakeholder management skills to foster strong relationships with internal and external stakeholders.

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