Medical Claims Expert

6 days ago


Singapore beBeeMedicine Full time $80,000 - $120,000
Job Title: Medical Claims Consultant

This position requires a qualified and experienced medical professional to support claims teams in various lines of business, concerning but not limited to claims assessment, adjudication and cost containment.

Key Responsibilities:
  • Review and interpret complex medical reports, diagnostic test results, and treatment plans to assess validity of claims, ensuring medical necessities and appropriate treatment regime vis-à-vis severity.
  • Provide expert medical opinions on complex or high-value claims across various products and business lines.
  • Ensure alignment with policy definitions, exclusions and industry best practices, supported with objective evidence.
Requirements:
  • At least a basic medical degree (MBBS or equivalent) from a recognized institution.
  • Holds a valid medical license/registration in Singapore.
  • Minimum 5 years of clinical experience.
Personality Traits:
  • Strong communicator with positive influence.
  • Excellent written and verbal communication skills in English.
  • Analytical mindset with keen attention to detail and sound ethical judgment.
Competencies / Knowledge:
  • Good understanding of the financial industry, and familiarity with insurance operations.
  • Knowledge of MOH and MAS regulations, along with industry guidelines relevant to life & health insurance industry.


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