Outpatient Claims Assessor

1 week ago

West Region, Singapore Alliance Healthcare Group Limited Full time $104,000 - $130,878 per year

We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business.

You will be required to go through a probation period of 3 months before commencing the remote role.

During the probation period, you are expected to work from office on a daily basis.

You will work on a remote basis after your probation period, with ad-hoc work from office days for meetings.

The Job

  • Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and LOG issuance to meet operational and SLA targets
  • Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience
  • Manage escalations and stakeholder relations
  • Being a champion for change as well as providing on-going training and development for effective claims management.
  • Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints
  • Conduct analysis, prepare periodic reports and presentation when required

Requirements:

  • Strong technical understanding of the claims process for medical claims, preferably in a Third-Party Administrator/Managed Healthcare environment
  • Highly developed interpersonal skills
  • Excellent organisational skills and exceptional eye for details
  • Passionate about driving change to improve business outcomes.
  • KPI Driven (targets are required to be met as a requirement for the remote position)
  • Exceptional communication skills and stakeholder management skills
  • Able to work a Tuesday - Saturday or Sunday - Thursday schedule

Interested applicants to click apply, or send in your resume to us.

Kindly note that only shortlisted candidates will be contacted.

To know more about our organisation, please visit

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