Senior Health Insurance Claims Specialist

21 hours ago


Singapore beBeeHealthInsurance Full time $90,000 - $120,000
Health Insurance Claims Specialist

We are seeking an experienced Senior Business Analyst to play a key role in adapting and localizing our health insurance platform for the Singapore market.

  • Collaborate with customer stakeholders to adapt platform capabilities to the Singapore health insurance context.
  • Lead workshops and gather detailed requirements across the full claims lifecycle — from intake to settlement.
  • Map and optimize current vs future-state processes for inpatient, outpatient, and critical illness claims.
  • Analyze product gaps against Singapore-specific regulatory and operational needs.
  • Ensure accurate handling of constructs like Integrated Shield Plans (IPs), riders/top-ups, CPF usage, MOH guidelines, and ICD-10/TOSP mappings.
Requirements
  • 6+ years of experience in business analysis or consulting in health insurance, with a focus on claims processes.
  • Strong familiarity with Singapore's healthcare and insurance landscape, including CPF/MediSave, IPs, and MOH regulations.
  • Experience implementing or localizing claims platforms across APAC markets.
  • Excellent stakeholder management, communication, and process documentation skills.


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