Clinical Claims Reviewer

2 weeks ago


Singapore beBeeMedicalAdjudicator Full time $60,000 - $100,000

We are seeking a Medical Adjudication Specialist to fill a key role in our claims adjudication department.

  • Review medical claims for potential fraud, waste, or abuse.
  • Investigate questionable claims by collaborating with medical providers and internal stakeholders.
  • Apply clinical expertise to support fair and consistent decisions.
Key Responsibilities
  • Negotiate charges with service providers.
  • Challenge inflated or non-medically necessary items.
  • Communicate with agents, administration teams, and policyholders to explain outcomes.

Requirements:

  • 3-5 years of experience in Clinical work in Singapore.
  • Strong understanding of surgical codes.
  • Excellent analytical thinking and problem-solving skills.

Benefits of this Role:

  • Meaningful work as part of a dynamic team.
  • Opportunities for career growth and professional development.
  • A supportive work environment that values teamwork and collaboration.


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