Medical Claims Examiner

5 days ago


Singapore RAFFLES HEALTH INSURANCE PTE. LTD. Full time

As a Medical Claims Examiner at Raffles Health Insurance PTE. LTD., you will play a vital role in ensuring the accuracy and efficiency of medical claims processing.

The estimated salary for this position is SGD 40,000 - 60,000 per annum, depending on experience.

Job Description:

We are seeking a highly organized and detail-oriented individual to join our team as a Medical Claims Examiner.

Responsibilities:

  • Verify client eligibility for medical benefits
  • Check claim validity prior to data entry into our system
  • Data entry of medical claims for both outpatient and inpatient services within strict timelines
  • Count, sort, and stamp incoming claims received
  • Scan weekly invoices
  • Prepare letters for rejected claims
  • Process medical claims reimbursement and generate reports
  • Troubleshoot operational and system issues
  • Handle client inquiries via phone and email

Requirements:

  • Meticulous and detailed work with high accuracy in data entries
  • Responsive to client needs
  • Team player with problem-solving skills
  • Adaptable to working environment with minimal supervision
  • Able to work within Key Performance Indicators (KPIs) set
  • Familiarity with Microsoft Office applications (Excel, Word, PowerPoint)

What We Offer:

  • A competitive salary range of SGD 40,000 - 60,000 per annum
  • A dynamic and supportive work environment
  • Ongoing training and development opportunities

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