Senior Claims Operations Coordinator

10 hours ago

Singapore beBeeClaims Full time $120,000 - $144,000

Job Title: Senior Claims Operations Coordinator


About This Role

We are seeking an experienced and skilled Senior Claims Operations Coordinator to join our team. In this role, you will be responsible for managing and coordinating all aspects of claims processing, ensuring timely and accurate submissions, and providing excellent customer service.


Key Responsibilities
  1. Claims Management
  • Manage and audit all claims forms and medical reports
  • Liaise with clinics and hospitals regarding claims and medical reports
  • Ensure PH's questionnaire and claim forms are completed and submitted to Insurer in timely manner
  • Ensure pre- & post hospitalization claims are filed to Insurer in timely manner
  • Monitor claim progress for each admission and/or case closely
  • Maintain and update PH's claim summary
  • Retrieve claims update from hospitals and centers, PHs or their ICs and update into Pcare Connect
  • Provide claims status update to stakeholders via respective channel
  • Final bill update and claim closure

Operations
  • To ensure operation process is smooth and seamless by overseeing and audit processes below:
    • i. Movement Update and appointment reminders to PHs
    • ii. Admission, Discharge & Out-patient Consultation
    • iii. Post hospitalisation calls to PHs
    • iv. Post service feedback calls to PHs

  • To supervise the operation process for quality control
  • To participate in improving company sales operation process

Data & Systems Management
  • To update and ensure accuracy of the information including but not limited to details of PH, admission, discharge, procedure, surgical code/table, insurance policy for each entry
  • To ensure PH's information, medical reports and bills, claim submissions are properly filed into system according to the Company's protocol
  • To assist and participate in system improvement

Others
  • Organize, schedule and/or assist company's meetings including company events
  • Take accurate meeting minutes and submit to HOD within 3 working days after meeting, and to ensure proper documentation filing
  • Other ad-hoc duties assigned by seniors and management especially during and/or after office hours

Requirements
  1. Skills
  • Strong relationship management skills
  • Strong interpersonal and communication skills, both written & verbal
  • Ability to understand and resolve issues effectively
  • Adaptable, resilient, ability to multi-task and to work well in a dynamic and fast-paced environment
  • Confident and passionate in customer service quality
  • Resourceful, pro-active and analytical with an eye for detail
  • A good team player, meticulous, organized and ability to adapt to the company's culture

Experience
  • At least 3 years of experience in claims operations or related field

About Us

We are a reputable health insurance provider dedicated to delivering exceptional customer service and innovative solutions to our clients.

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