
Medical Claims Manager
2 weeks ago
Provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
- Handle claim investigations and appeals
- Deliver excellent service and enhance customer and distribution channels relationship management
- Review claims processes and participate in process improvement projects, initiatives and system enhancement for the department, including establish claims best practices
- Provide guidance to junior staff
- Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
- Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
- Highlights any potential concerns /risks and proactively shares best risk management practices.
**Requirements**:
- Diploma in Nursing / or Professional Insurance Certificate with at least 5 years of relevant accident and health claims experience.
- Mid-level claims assessors who are looking for greater challenges and greater exposures
- Strong knowledge on integrated shield claim processes and industry initiatives in managing medical claim cost
- Strong analytical, written and communication skills
- Customer-centric and meticulous with the ability to work under pressure
- Excellent interpersonal skills to effectively communicate with all stakeholders
- Good medical knowledge and ability to explain medical conditions in insurance context
- Good business acumen with long term vision
- A team player
- High level of integrity, takes accountability of work and good attitude over teamwork.
- Takes initiative to improve current state of things and adaptable to embrace new changes.
Check out Aber Care Website for detail
Abercare.sg | Germaine Er Si Ying | R1875721 | Ea License No. 18C9070
**Job Types**: Full-time, Permanent
**Salary**: $4,000.00 - $5,200.00 per month
-
Manager, Medical Claims
1 day ago
Singapore Doctor Anywhere Full time**About the team** Doctor Anywhere's Operations team is a crucial part of the company. We ensure the day-to-day excellence of our TPA business, virtual and in-person clinical services, resolving operational issues in a timely manner and providing the best customer experience possible. We make sure that our customers remain our top priority. **The role we...
-
Medical Claims Processor
4 hours ago
Singapore beBeeClaims Full time $2,500 - $4,000Medical Claims ProcessorWe are seeking an experienced Medical Claims Processor to manage and process medical claims in a timely and accurate manner.Key Responsibilities:
-
Medical Claims Specialist
3 days ago
Singapore beBeeClaims Full timeWe are seeking claims specialists who possess a deep understanding of the claims process in a medical setting. This is an excellent opportunity for dynamic professionals to join our corporate managed healthcare business and contribute to our success.The job involves providing accurate and efficient adjudication of claims, validation, pre-authorisation of...
-
Medical Claims Officer
1 week ago
Singapore SPECIALIST WOMEN'S IMAGING (SINGAPORE) PTE. LTD. Full time**Medical Claims Officer** You will provide oversee medical claims of patients and provide general administrative support to the department. - Oversees hospital and doctor's fees billing upon patient's discharge. - Seek clarifications and liaise with medical institution and policyholders on outstanding requirements - Promptly process final bills and provide...
-
Medical Claims Professional
1 day ago
Singapore beBeeMedicalClaims Full time $90,000 - $120,000We're seeking a Medical Claims Specialist to join our team in creating a healthier, more sustainable future for everyone.As a key member of our team, you'll play an important part in shaping the future of healthcare by helping us find new ways to better people's lives, communities, and environments.Review and adjudicate complex medical claims to identify...
-
Medical Claims Billing Specialist
16 hours ago
Singapore beBeeBilling Full time $40,000 - $80,000Medical Claims CoordinatorWe are seeking a skilled Medical Claims Coordinator to join our team. This role involves managing patient and non-patient billing operations, accounts reconciliation, and financial transactions in a fast-paced healthcare environment.The ideal candidate will have experience handling medical claims, including invoices and receipts,...
-
Medical Claims Administrator
2 days ago
Singapore Alliance Healthcare Group Limited Full timeWe are seeking dynamic professionals to join our claims team in our corporate managed healthcare business segment. **Responsibilities**: Claims Management - Outpatient and Inpatient Medical Claims - Understand and examine the provisions of medical policies to determine the patient’s/member’s level of medical coverage against the terms and conditions of...
-
Senior Medical Claims Specialist
16 hours ago
Singapore beBeeClaims Full time $75,000 - $105,000Claims Manager Role:We are seeking an experienced claims manager to join our team and contribute to the growth and success of our business.Key Responsibilities:Manage adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational targets.Conduct regular review of current claims processes and work with stakeholders...
-
Admin Assistant Claims
1 week ago
Singapore OneCare Medical Group Full timeHello! OneCare Medical Group is hiring! **Responsibilities**: - Data entry; To do insurance claims for outpatient visit (Healthcare schemes: e.g: MHC, FHN) - Collecting accurate information and documents to proceed with a claim - To have timely follow-up with healthcare providers and business partners for claims related matters/ documentations - Ensuring...
-
Claims Assessor
1 day ago
Central Singapore PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE) LIMITED Full time**Location** - Singapore, Central Singapore**Job Type** - Full Time**Salary** - $3,500 - $4,500 Per Month**Date Posted** - 1 day agoAdditional Details **Job ID** - 116580**Job Views** - 1Roles & Responsibilities **Job Profile Summary**: In this role, you will be involved in both Claims Assessment and Pre-authorisation. Claims Assessment: You will review,...