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Medical Services Coordinator

2 months ago

Singapur, Singapore Prudential plc Full time

Job Title: Medical Services Specialist

Job Summary:

We are seeking a highly organized and detail-oriented Medical Services Specialist to join our team at Prudential plc. As a Medical Services Specialist, you will play a critical role in assisting customers with claims submissions and processing payments recovered from third-party insurers.

Key Responsibilities:

  • Process payments recovered from third-party insurers via Fund Transfer or Cheque
  • Issue Token of Appreciation to Policyholders and Incentive to Financial Consultants
  • Assist Policyholders in booking an appointment with a Specialist under our PRUPanel Connect programme
  • Handle and process cheque payments weekly
  • Create Journal, Payment & Letter for Token of Appreciation, adhering to standard operating procedures on daily basis
  • Input data for incentives meant for Financial Consultants on monthly basis
  • Input HRN for MMCR file on weekly basis
  • Process Electronic Fund Transfers, adhering to standard operating procedures, on weekly basis
  • Input Copay cases to Copay Token of Appreciation working file
  • Reply to email enquiries from the team regarding reimbursement details
  • Process self-refund cases
  • Call Hospitals / Day Surgery Centres to book appointment with a Specialist for Policyholders
  • Send confirmation email to Policyholders once appointment has been confirmed
  • Answer call enquiries that clients may have about PRUPanel Connect
  • Educate clients on eligibility criteria for PRUPanel Connect benefits
  • Send monthly reports to Partner Hospitals / Day Surgery Centres

KPIs:

  • Attend to appointment booking requests within 2 hours
  • Appointments have to be made within 3 workings days
  • Issue Token of Appreciation to Policyholders within 14 days
  • Process refunds from Group Insurer within 3 working days
  • Error rate for receipting within 10 a year
  • Meet the financial target set for PRUShield Claims Recovery by processing the reimbursement received from the third-party insurers

Requirements:

  • Meticulous, able to process backend systems with accuracy
  • A keen learner and able to work independently
  • Friendly, proactive and service oriented individual with good interpersonal and communication skills
  • Problem solving skills and a great team player who enjoys being in a target driven team
  • Team player and enjoys interacting with customers

Working Experience:

  • At least two years' experience in a customer service capacity or outbound/ in-bound call centre environment
  • One to two years' experience in integrated shield/ life insurance/ claims will be advantageous

Professional Qualifications:

  • Life insurance qualifications – Certificate in Life & Health Insurance will be an added advantage
  • Proficient in MS Office such as Word and Excel

Education:

  • Poly diploma, GCE A level or relevant work experience

Language:

  • Strong command of the English language