Senior Claims Adjudicator

1 week ago

Singapore beBeeClaimsAdjudicator Full time $90,000 - $120,000

Job Summary:

We are seeking a seasoned professional to join our team as a Senior Claims Adjudicator. This role involves providing accurate and efficient adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational and Service Level Agreement (SLA) targets.

This is an excellent opportunity for someone who wants to work in a dynamic environment where they can utilize their analytical skills to resolve complex issues and drive business outcomes.

Main Responsibilities:

  • Adjudicate claims accurately and efficiently, ensuring compliance with regulatory requirements
  • Conduct regular review of current claims processes and develop new and improved processes to improve efficiency and overall claims experience
  • Manage escalations and stakeholder relations, providing exceptional customer service
  • Be a champion for change and provide on-going training and development for effective claims management
  • Liaise with the Insurance Company to verify exceptions and resolve any complaints
  • Conduct analysis and prepare periodic reports and presentations when required

Requirements:

  • Strong technical understanding of the claims process for medical claims, preferably in a Third-Party Administrator/Managed Healthcare environment
  • Highly developed interpersonal skills, with ability to communicate effectively with stakeholders
  • Excellent organisational skills and exceptional eye for details, with ability to prioritise tasks and manage multiple projects simultaneously
  • Passionate about driving change to improve business outcomes, with ability to think critically and outside the box
  • Exceptional communication skills and stakeholder management skills, with ability to build strong relationships with colleagues and clients

  • Medical Claims Adjudicator

    1 week ago

    Singapore beBeeMedicalAdjudication Full time $90,000 - $120,000

    About Adjudicating Medical ClaimsAt AIA, we have embarked on an initiative to create a healthier and more sustainable future for everyone. Our goal is to help people live Healthier, Longer, Better Lives by identifying innovative ways to better their lives and the communities they live in.To achieve this ambitious vision, we need professionals who share our...

  • Medical Adjudication Specialist

    1 week ago

    Singapore AIA SINGAPORE PRIVATE LIMITED Full time

    Roles & Responsibilities Responsibilities: Review and adjudicate complex medical claims, especially outliers, to identify potential fraud, waste, or abuse (FWA). Collaborate with medical providers, third party administrators, and internal stakeholders to investigate questionable claims and perform fact-finding when discrepancies arise. Negotiate...

  • Medical Adjudication Specialist

    2 weeks ago

    Singapore AIA SINGAPORE PRIVATE LIMITED Full time

    Roles & ResponsibilitiesResponsibilities:Review and adjudicate complex medical claims, especially outliers, to identify potential fraud, waste, or abuse (FWA). Collaborate with medical providers, third party administrators, and internal stakeholders to investigate questionable claims and perform fact-finding when discrepancies arise. Negotiate with service...

  • Claims Intern

    2 weeks ago

    Singapore Prudential plc Full time

    Claims Intern 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 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...

  • Claims Intern

    2 weeks ago

    Singapore Prudential plc Full time

    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 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...

  • Senior Claims Assessor

    1 week ago

    Singapore Prudential plc Full time

    Senior Claims Assessor 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 our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the...

  • Claims Intern

    1 week ago

    Singapore Prudential plc Full time

    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 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 Analyst

    1 week ago

    Singapore beBeeFraud Full time $80,000 - $120,000

    The Medical Adjudication Specialist is responsible for reviewing and adjudicating complex medical claims, ensuring fair and consistent decisions in accordance with company policy and regulatory frameworks.Key ResponsibilitiesReview and adjudicate complex medical claims to identify potential fraud, waste, or abuse (FWA).Collaborate with medical providers,...

  • Medical Adjudication, Specialist

    1 day ago

    Singapore AIA Singapore Private Limited Full time

    At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone. It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030. And to get there, we need...

  • Medical Adjudication, Specialist

    3 days ago

    Singapore AIA Singapore Private Limited Full time

    At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone. It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030. And to get there,...