Associate, Medical Claims
2 weeks ago
Are you passionate about making a meaningful impact in the healthcare insurance space? Join us as a Medical Claims Associate, where you'll play a vital role in ensuring our policyholders receive timely and accurate support when they need it most.
As part of our dynamic Health Claims team, you'll not only assess medical claims under our health plans—you'll also be empowered to contribute to service excellence initiatives and exciting projects that enhance the overall claims experience. This is more than just a job; it's a career path that builds deep expertise in claims assessment and customer care.
Assess Medical Claims
Provide accurate and timely assessment of medical claims, ensuring all data entry, benefit mapping, and claim tagging are completed in line with required service standards. Handle medical claims assessment and maintain high accuracy.
OCR Approval
Act as the checker for the OCR correction team, reviewing and approving OCR processed claims to ensure accuracy and compliance.
Engage with Stakeholders
Liaise professionally with medical institutions and policyholders to clarify outstanding requirements and ensure smooth claims processing.
Customer & Business Partner Relations
Provide excellent service and strengthen relationships with customers and distribution channels through responsive and empathetic support.
Handle escalated claims enquiries
Attend to claims-related queries with clarity, care, and professionalism.
Ad-hoc Projects
Undertake any other ad-hoc projects as assigned by your supervisor.
Ensure Compliance
· Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations.
· Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks;
· Maintain awareness of industry trends on regulatory compliance, emerging threats and appropriate steps to mitigate the risks; and
· Highlight any potential concerns/risks and proactively shares best risk management practices.
· Have 1–3 years of experience in insurance claims handing, customer servicing, nursing or related fields (fresh graduates with strong interest in claims are welcome to apply).
· Hold a Diploma or Degree in Business or Healthcare Administration, Nursing or any relevant discipline
· Possess strong analytical skills and attention to detail, with the ability to interpret medical reports and policy terms
· Are customer-focused, with excellent communication skills and a proactive approach to problem-solving
· Are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence
· Demonstrate 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
-
Claims Associate
3 days ago
Singapore River The Great Eastern Life Assurance Company Limited Full time $40,000 - $80,000 per yearAre you passionate about making a meaningful impact in the healthcare insurance space? Join us as a Medical Claims Associate, where you'll play a vital role in ensuring our policyholders receive timely and accurate support when they need it most. As part of our dynamic Health Claims team, you'll not only assess medical claims under our health plans—you'll...
-
Medical Claims Manager Healthcare
2 weeks ago
Singapore ABER CARE PTE LTD Full timeProvide 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...
-
Medical Claims Administrator
5 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...
-
AVP, Pre-Claims Authorization Assessment
2 weeks ago
Singapore Great Eastern Full timeAVP, Pre-Claims Authorization Assessment (Medical Care Concierge Team)Join to apply for the AVP, Pre-Claims Authorization Assessment (Medical Care Concierge Team)role at Great Eastern . To ensure accurate and timely assessment of pre-claims authorization requests. The role is focused on giving customers assurance before their admissions by delivering precise...
-
Claims Assistant Healthcare Insurance
2 weeks 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...
-
Associate Director
1 week ago
Singapore Sedgwick Claims Management Services Ltd Full timeAssociate Director - Loss Adjusting page is loaded## Associate Director - Loss Adjustinglocations: Singaporeposted on: Posted Todayjob requisition id: R61093Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having...
-
Claims Assistant Temporary 1-3month
1 week ago
Singapore OneCare Medical Group Full timeOneCare Medical Group is hiring! Temporary position (1-3months) **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 - Administrative work - Any other ad-hoc duties as assigned **Requirements**: - Able to commit between...
-
Singapore Raffles Medical Group Full timeRaffles Corporate Solutions | Shield Claims Executive Review and process claims in accordance with Shield policy contract and guidelines. Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT). Check data entry processes to ensure compliance with minimal error. Liaison personnel with medical institutions for medical reports and...
-
AVP, Pre-Claims Authorization Assessment
1 week ago
Singapore River The Great Eastern Life Assurance Company Limited Full time $90,000 - $120,000 per yearAbout the JobTo ensure accurate and timely assessment of pre-claims authorization requests. The role is focused on giving customers assurance before their admissions by delivering precise evaluations, clear communication and assurance of coverage. This includes managing pre-claim investigations, liaising with medical professionals, and resolving escalated...
-
Singapore SingHealth Group Full timeSengkang General Hospital Pte. Ltd. **Senior Patient Service Associate, Business Office (Billing & Claims)**: - Job Category: Ancillary - Posting Date: 15 Aug 2025 **Job Description**: You are responsible for timeliness in processing of patient bills and claims, checking for bill accuracies and review completeness of patient documents for medical claims....