Claims Auditor

6 days ago


Singapore FULLERTON HEALTHCARE GROUP PTE. LIMITED Full time

Responsible for reviewing and evaluating the validity of claims made by individuals or companies, ensuring claims accuracy and smooth workflow.
- Reviewing claims, identifying errors, and make recommendations for changes.
- Ensure claim settlements are assessed according to Policy Contract and guidelines and concluded within the agreed turnaround time.
- Investigate complex cases or complaints submitted by clients and provide solutions to the cases/complaints.
- Evaluate internal processes and/or controls to identify non-compliance issues and improvement opportunities.
- Create audit reports to document audit findings, which will result in audit recommendations, reports and claims audit criteria enhancements.
- Communicate effectively with clients and intermediaries to ensure a satisfactory resolution of the cases/complaints within a reasonable timeline.
- Oversee and ensure that regular reports on case resolutions are provided to internal stakeholders and external clients.
- Review and enhance work processes with internal and external stakeholders to improve customer experience. Work with stakeholders to implement the enhanced work processes.
- Mentor and guide junior staff to build claims assessment competency, medical knowledge and communication skills through coaching and training.
- Review claims processes and participate in process improvement projects, initiatives and system enhancement for the department, including establish claims best practices.
- Oversee and ensure the team comply with regulatory and risk management controls, corporate policies, procedure and claims guideline. To highlight any potential concerns or risks and takes appropriate steps to mitigate the risks.
- Any other ad-hoc projects assigned by the management.


  • Finance Executive

    1 week ago


    Singapore Auditor-General's Office Full time

    **What the role is** - To provide support to the Director of Finance in the administration of Finance functions. **What you will be working on** - Job Responsibilities: (a) Process invoices and claims, and prepare journals (b) Perform regular reconciliation of general ledger, as well as banking, monitor receipts and reconciliations (Bank, Deposits and...


  • Singapore WSH EXPERTS PTE LTD Full time

    **Responsibilities**: - Check for completeness of the claim documents uploaded by grant recipient and verify the final grant claim amount is substantiated with relevant supporting document - Check for claimant eligibility against system or agency-generated report(s) - Conduct additional checks to verify deployment location(s) and nature of business via...

  • Claims Executive

    2 days ago


    Central Singapore PERSOLKELLY Full time

    **Responsibilities**: - Process service benefits, scheme payments, and claims accurately and promptly, adhering to established policies and guidelines.- - Collaborate with team members to execute daily operational activities, ensuring the accuracy and timeliness of payments.- Prepare monthly reports detailing payments and claims.- Identify and communicate...


  • Singapore beBeeOperations Full time $90,000 - $120,000

    Job Title: Claims Operations Specialist ManagerThe Life and Health Operations department plays a pivotal role in delivering high-quality life and health products to customers.This position is responsible for managing projects, providing central claims support, and ensuring operational targets are met. You will work closely with the claim processing team,...


  • Singapore WTW Full time

    **Description**: **The Role** - Manage the day-to-day delivery of captive management services to his or her clients, and be the primary point of contact within WTW, in relation to all Underwriting and Claims queries on captives - Maintain an on-going relationship with the clients and gaining an understanding of the clients’ business and industry - Assist...


  • Singapore WTW Full time

    **The Role** - Manage the day-to-day delivery of captive management services to his or her clients, and be the primary point of contact within WTW, in relation to all Underwriting and Claims queries on captives - Maintain an on-going relationship with the clients and gaining an understanding of the clients’ business and industry - Assist in coordinating...


  • Singapore CMACGM Full time

    Led by Rodolphe Saadé, the CMA CGM Group, a global leader in shipping and logistics, serves more than 420 ports around the world on five continents. With its subsidiary CEVA Logistics, a world leader in logistics, and its air freight division CMA CGM AIR CARGO, the CMA CGM Group is continually innovating to offer its customers a complete and increasingly...


  • Singapore INCOME INSURANCE LIMITED Full time

    Roles & ResponsibilitiesThe Life and Health Operations (LHO) department plays a pivotal role in ensuring we provide our customers with affordable and comprehensive life and health products, with efficient processes to allow optimal service to our customers.As an Assistant Manager of the Claim Operation Specialist unit, you will be responsible for managing...

  • QHSE Auditor

    4 days ago


    Singapore ECAAS Full time

    ECAAS Certification International is an accredited Certification Body that provides internationally recognised Certification Services for Quality, Environmental and Occupational Health & Safety Management Systems. As a result of growth across all areas of our business, we are seeking a motivated, enthusiastic and experienced third party Auditor. As the...


  • Singapore RGF Full time

    **Location**: Singapore **Salary**: Open **Industry**: Financial Services **Sub-industry**: Insurance **Function**: Financial Services **Job Description**: **Our Client**: Our client is general reinsurance broker incorporated and registered in Singapore since 2009. They are actively looking to hire a Broking Executive to join their team in...