Senior Claims Assessor
2 weeks ago
**Location**
- Singapore, Central Singapore**Job Type**
- Permanent**Salary**
- $4,000 - $6,000 Per Month**Date Posted**
- 1 day agoAdditional Details
**Job ID**
- 117845**Job Views**
- 1Roles & Responsibilities
- Job Profile Summary:
- In this role, you will report into the Team Lead managing PruShield Inpatient claims, including eFiled and non-eFiled claims. Your work involves claims assessment and processing within the expected service turnaround time. As part of this dynamic role, you will work closely with various stakeholders, both internal and external, and ensuring SOPs and regulatory requirements are adhered to, while meeting the key performance indicators (KPIs).
- **Job Description**:
- Review, assess and approve PruShield Claims
- Ensure output is accurate and in compliance to internal policy (SOP) and regulatory requirement (MOH) and meet service objectives (KPI and TAT).
- Manage claims investigation
- Attend to service recovery, complaint, appeal and enquiry escalated from customer contact points
- Coach, supervise and guide subordinates in providing accurate and prompt services to FCs and customers
- Identify process shortcomings and implement improvement
Who are we looking for:
- Team player, mature, and independent in decision-making
- Good knowledge of hospital admission, discharge and claims processes., especially Shield Claims
- Good medical knowledge and claims settlement procedure.
Working Experience- At least 5 years experience in managing health claims, preferably in Shield claims
Professional Qualifications- LOMA-certified or equivalent
- Health Insurance
Education- Degree
Language- English and other languages would be of advantage
Tags
senior
claims
assessor
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