Wica Claims Assessor/ Handler

5 days ago

Singapore SEDGWICK SINGAPORE PTE. LTD. Full time

**Main responsibilities**:

- Manage claims from registration to finalisation with high accuracy on a timely manner
- Identify reasons why policy conditions is not applicable
- Correspond with network providers and approved professionals
- Monitor the progress of a claim to assist with quick resolutions
- Investigate potentially fraudulent claims
- Prepare an initial estimate of costs and closely monitor keeping records of costs
- Act on advice from external specialists, such as loss adjusters and forensic accountants, on complex cases
- Ensure fair settlement of a valid claims
- Detailed knowledge of legislative changes
- Assess claims in line with the policy limits
- Investigate cause of loss ensuring it falls under policy coverage
- Medical Claims Knowledge
- Adhere to legal requirements, industry regulations and customer quality standards set by the company

**Requirements**:

- Minimum Diploma or Degree qualification/ or BCP, CGI, PGI
- Minimum 1 year of working experience or experience in handling Health Claims/ WICA claims/ Travel claims
- Initiative and ability to adapt quickly
- Good numeracy and literacy
- Good communication skills (Oral & Written)
- Strong in MS Excel and Powerpoint
- Analytical with attention to details
- Team player

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