Claims Assessor
4 days ago
In this role, you will review, assess and approve shield claims within service turnaround time. As part of this dynamic role, you will report to Team Lead, PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements.
Job Description (also includes pre-authorisation):
- Claim adjudication of Shield claims within service turnaround time and compliance with SOP and internal guidelines.
- Ensure output of assessment is accurate and compliant with internal policy and regulatory requirements.
- Attend to claims investigations (based on claims guidelines), service recovery and enquiry escalated from customer contact points
- Send and attend to clarification with hospitals and clinics
- Involve in projects assigned by supervisor (ad hoc) Provide quality customer service including interacting with Financial Consultants, customers when issues are escalated via customer contact points,
- Provide timely response to complaints
- Review appeals arising from rejected claims
Who are we looking for:
Competencies & Personal Traits
- Strong command of the English language (spoken and written)
- Familiarity with human anatomy, general diseases and disease management
- Detail-oriented and meticulous
- Exhibits collaborative and innovative mind-set
- Possesses good initiative and strong problem-solving skills
- Able to work in a fast-paced environment and under tight pressure
- Accountable and able to deliver work requirement within stipulated timelines Friendly and able to communicate and collaborate with Panel Hospitals/ Clinics with tact and timeliness
- Good negotiation skills
- Familiar with Microsoft Word and Excel
Working Experience
- At least 2 years of experience as a Life & Health claims assessor
- Experience in Shield Claims processing and pre-authorisation of claims are highly preferred Attained professional qualifications, eg: Health Insurance, LOMA, FLMI (Fellow, Life Management Institute etc.)
Education
- Degree in Biology & Life Sciences
- Diploma in Nursing Create Job Requisition
Language
- Strong in English (both written and spoken)
-
Claim Assessor
4 days ago
Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time**Job Profile Summary**: In this role, you will review, assess and approve shield claims within service turnaround time. As part of this dynamic role, you will report to Team Lead, PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements. - Review, assess...
-
Senior Claims Assessor
3 days ago
Singapore Prudential plc Full timeSenior 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 Assessor
2 days ago
Singapore Prudential plc Full timePrudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...
-
Senior Claims Assessor
4 weeks ago
Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full timeRoles & ResponsibilitiesJob Description:Review, assess and approve shield claims within service turnaround time. Ensure the output is accurate and compliant to internal policy and regulatory requirements. Attend to claims investigations, service recovery and enquiry Attend to medical clarification with hospitals and clinics Involve in projects assigned by...
-
Senior Claims Assessor
4 weeks ago
Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full timeRoles & ResponsibilitiesJob Description: Review, assess and approve shield claims within service turnaround time. Ensure the output is accurate and compliant to internal policy and regulatory requirements. Attend to claims investigations, service recovery and enquiry Attend to medical clarification with hospitals and clinics Involve in projects assigned...
-
Senior Claims Assessor
3 days ago
Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full timeIn this role, you will review, assess and approve shield claims within service turnaround time. As part of this dynamic role, you will report to Team Lead, PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory requirements. - Review, assess and approve shield claims...
-
Senior Claims Assessor
4 days ago
Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time**Job Description**: Job Profile Summary: In this role, you will review, assess and approve shield claims within service turnaround time. As part of this dynamic role, you will report to Team Lead, PruShield Claims and work closely with various stakeholders to ensure that the output is accurate and compliant to internal policy and regulatory...
-
Senior Claims Assessor
3 days ago
Singapore Prudential plc Full timePrudential’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
2 days ago
Singapore Prudential plc Full timePrudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...
-
Senior Claims Assessor
3 days ago
Singapore Prudential plc Full timePrudential’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
3 days ago
Singapore Prudential plc Full timePrudential’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...
-
Claims Assessor
3 days ago
Singapore ALLIED SEARCH PTE. LTD. Full timeMarina Square - Mon to Fri, office hours - Below $3,500 **Roles & Responsibilities**: - Assess medical claims in accordance with policy contract and guidelines. - Ensure claim settlements are concluded within the agreed turnaround time. - Investigate complex cases or complaints submitted by clients and provide solutions to the case/complaints. -...
-
Claims Administrator
2 weeks ago
Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full timeRoles & ResponsibilitiesJob DescriptionPP and Manual FS Claim registration in Life Asia Understanding of Workflow System Able to work in a very fast pace environment and under stressful situation Able to cope with high volume of claim registration Customer-centric Prepare medical report requisition forms and report fees Prepare medical report follow up...
-
Senior Claims Assessor
23 hours ago
Singapore Prudential Full timePrudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...
-
Senior Claims Assessor
2 days ago
Singapore Prudential Full timePrudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...
-
Executive Assistant, Claims
3 days ago
Singapore EQ INSURANCE COMPANY LTD. Full time**Responsibility**: - Act as the contact point for First Notice of Loss where customers make an initial report following a loss, - Input data and information into policy administration system for all insurance claims - Prepare claims payment documentation in line with organisation policies and procedure within the Service Level Agreements - Handle and...
-
Assistant / Executive Assistant, Claims
4 days ago
Singapore EQ INSURANCE COMPANY LTD. Full time**Responsibility**: - Act as the contact point for First Notice of Loss where customers make an initial report of loss - Input data and information into policy administration system for all insurance claims - Follow up with medical institutions on medical report, fee payments and required document - Prepare computation of WICA claims - Prepare claims...
-
Claims Executive
3 days ago
Singapore MS FIRST CAPITAL INSURANCE LIMITED Full timeA marine insurance **Claims Executive **strives to provide equitable solutions to clients. Their job scope includes the following: - Receiving, recording and processing all incoming insurance claims. - Interpreting policies and determining the coverage of claims made on marine insurance policies. - Liaising with Brokers, shipowners or surveyors on all...
-
Vehicle Claim Assessor
3 days ago
Singapore KOMOCO MOTORS PTE LTD Full timeTo assist customers in car accident reporting. - Prepare and submit car repair report to insurance company. - Liaise with accident claim surveyor and insurance company to process car accident repair. - Prepare invoice and follow-up with insurance company for payment. **Job Requirement**: class 3 driving license Able to work overtime 5.5 days week...
-
Singapore EQ INSURANCE COMPANY LTD. Full time**Responsibility**: - Act as the contact point for First Notice of Loss where customers make an initial report of loss - Input data and information into policy administration system for all insurance claims - Follow up with medical institutions on medical report, fee payments and required document - Prepare computation of WICA claims - Prepare Notice of...