
Medical Claims Expert
6 days ago
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.
- 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.
- Strong communicator with positive influence.
- Excellent written and verbal communication skills in English.
- Analytical mindset with keen attention to detail and sound ethical judgment.
- 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.
-
Medical Claims Expert
3 days ago
Singapore beBeeClaims Full time $90,000 - $120,000Medical Claims ConsultantThis is an opportunity to work in a dynamic environment where medical expertise plays a vital role in ensuring the integrity, fairness and accuracy of medical claims decisions.The ideal candidate will be involved in reviewing and interpreting complex medical reports, diagnostic test results, and treatment plans to assess validity of...
-
Medical Claims Consultant
2 weeks ago
Singapore Prudential plc Full timePrudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...
-
Medical Claims Consultant
6 days ago
Singapore Prudential Hong Kong Limited Full timeMedical Claims Consultant page is loaded## Medical Claims Consultantlocations: Singaporetime type: Full timeposted on: Posted Todayjob requisition id: Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for...
-
Medical Claims Consultant
1 week ago
Singapore Prudential Plc Full time $104,000 - $130,878 per yearPrudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our...
-
Medical Claims Consultant
2 weeks ago
Singapore Prudential plc Full time $104,000 - $130,878 per yearPrudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our...
-
Manager, Medical Claims
2 weeks ago
Singapore Doctor Anywhere Full time**About the team** Doctor Anywhere's Operations team is a crucial part of the company. We ensure the day-to-day excellence of our TPA business, virtual and in-person clinical services, resolving operational issues in a timely manner and providing the best customer experience possible. We make sure that our customers remain our top priority. **The role we...
-
Medical Claims Examiner
1 week ago
Singapore beBeeAdjudicator Full time $70,000 - $110,000Job OpportunityThe role of Medical Adjudication Specialist involves reviewing and evaluating complex medical claims, identifying potential fraud or abuse. This position requires expertise in clinical decision-making, analytical thinking, and effective communication to collaborate with healthcare providers and internal stakeholders.Key...
-
Medical Claims Consultant
13 hours ago
Singapore beBeeMedicalClaimsSpecialist Full time $90,000 - $120,000Medical Claims SpecialistThis role requires a medical professional with extensive clinical experience to support our claims teams in various lines of business. The ideal candidate will possess strong analytical skills, excellent communication abilities, and the ability to work independently.### Job Responsibilities:Conduct thorough medical evaluations to...
-
Medical Claims Manager
5 days ago
Singapore beBeeClaims Full time $80,000 - $120,000Claims Management Position">We are seeking a highly skilled professional to join our claims team in the healthcare industry. As a claims manager, you will be responsible for the accurate and efficient adjudication of claims, validation, pre-authorisation of applications, and issuance of log documents to meet operational and SLA targets.Key...
-
Medical Claims Adjudication Specialist
2 weeks ago
Singapore beBeeMedical Full time $90,000 - $120,000Transform Your Career with a Rewarding Role in Medical Claims AdjudicationWe are seeking ambitious professionals to join our team as Medical Claims Adjudication Specialists. In this exciting role, you will play a vital part in shaping the future of healthcare by ensuring fair and consistent decisions on complex medical claims.Review and adjudicate high-value...