Medical Claims Processing Specialist

4 days ago


Singapore RAFFLES HEALTH INSURANCE PTE. LTD. Full time
Job Summary

We are seeking a highly detail-oriented and organized Medical Claims Processing Specialist to join our team at Raffles Health Insurance PTE. LTD.

About the Role

The successful candidate will be responsible for processing medical claims efficiently and accurately, ensuring timely payment to clients while maintaining high quality service standards.

Main Responsibilities:

  • Verify client eligibility for medical benefits
  • Assess claim validity prior to data entry into our system
  • Enter medical claims for both outpatient and inpatient services within strict timelines
  • Manage and process incoming claims, including counting, sorting, and stamping
  • Scan and process weekly invoices
  • Prepare letters for rejected claims
  • Process medical claims reimbursement and generate reports
  • Resolve operational and system issues
  • Provide excellent customer service via phone and email

Requirements:

  • Meticulous attention to detail with accurate data entry into our system
  • Excellent communication skills to respond to client needs
  • Team player with problem-solving abilities
  • Adaptable to working environment with minimal supervision
  • Able to work within set KPIs
  • Familiarity with Microsoft Office applications (Excel, Word, and PowerPoint)
What We Offer

+ +$45,000 - $55,000 per annum

Benefits include comprehensive health insurance, generous annual leave, and professional development opportunities.

About Us

Raffles Health Insurance PTE. LTD. is a leading provider of health insurance solutions in Singapore. We value our employees and strive to create a positive work environment that supports their growth and well-being.



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