Senior Claims Manager, Insurance Industry

4 weeks ago


Singapore PERSOLKELLY SINGAPORE PTE. LTD. Full time
About the Role

We are seeking a highly skilled Senior Claims Manager to join our team at PERSOLKELLY SINGAPORE PTE. LTD.

Job Summary

The successful candidate will be responsible for managing medical claims and providing expert advice on complex cases. You will work closely with reinsurers' Chief Medical Officers to make informed decisions and drive business growth through product development and design.

Key Responsibilities
  • Manage controlled claims in accordance with reinsurer contractual arrangements and ensure required reporting is completed
  • Prepare reports on controlled claims and handle cost management within the organization
  • Conduct audits as per the annual audit schedule and deliver reports to clients and the business
  • Liaise with auditees to implement audit findings
Fraud, Waste, and Abuse Management

You will identify and evaluate potentially fraudulent claims and take appropriate action to rectify anomalies.

Training and Presentations

As a Senior Claims Manager, you will provide training and presentations to internal and external stakeholders on best practices in claims processing and guidelines.

Requirements
  • Strong knowledge of healthcare and insurance markets
  • Experience in health insurance claims handling
  • Possess drive and determination to set, meet, and improve upon highest standards of performance
  • Able to work collaboratively with others to achieve business goals
  • Understand customers' needs to deliver quality work efficiently
Estimated Salary Range: SGD $80,000 - SGD $120,000 Per Annum

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