Operational Claims Manager

2 weeks ago


Singapore beBeeClaimSpecialist Full time $90,000 - $120,000

Key Responsibilities Include:

  • Product Review

Perform review of contract and product specification including providing requirements for system changes coordinating/soliciting teams inputs workgroup discussions on medical and life claims. Be part of the product implementation workgroup and have opportunity to work with various internal and/or external parties.

  • Serves as a claim subject matter expert as a liaison and reference point between claim business and the business analyst (BA)/technical analyst ensuring that the business requirement are translated to functional requirements.
  • Conduct prioritization with BA and IT on system enhancements.
  • Support all production issues rectifications data patches/configuration changes or tasks that requires some testing etc.
  • Involved in ongoing requirement gatherings.
  • Review impact/process changes due to system changes.
  • UREQ/BSD review from claim business user perspective.
  • Engagement communication briefing to stakeholders on impact areas in relation to system/product/benefit changes.
Qualifications Required:
  • Diploma/Degree holder with five or more years of experience in shield claims.
  • Strong background in integrated shield claim processes.
  • Strong policy language skills enabling accurate and consistent policy wording interpretation.
  • Strong critical thinking skills and ability to handle complex computations.
  • Strong written and communication skills committed team player.
  • Ability to work under pressure and manage deadlines.
  • Meticulous with good analytical organisational skills.
  • Able to multi-task and work independently.
  • Customer centric.

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