Medical Claims Manager

2 weeks ago


Central Singapore ABER CARE PTE LTD Full time

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



  • Singapore Prudential Assurance Company Singapore Full time

    Description Medical Claims Consultant role at Prudential Assurance Company Singapore 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...


  • Singapore Prudential Assurance Company Singapore Full time

    Medical Claims Consultant role at Prudential Assurance Company Singapore 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...


  • Singapore Prudential plc Full time $120,000 - $180,000 per year

    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 business, and we support our...


  • Singapore Prudential Plc Full time $120,000 - $180,000 per year

    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 business, and we support our...


  • 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...

  • Claims Assistant

    5 days ago


    Central Region, Singapore Healthway Medical Group Full time $35,000 - $45,000 per year

    Job Responsibilities:GP claims submissions for online portals claims per day )Check and verify with transaction system against invoices to ensure accuracy in submissionEnsure that supporting documents are attached according to customer's requirement when neededLiaise and follow up with Insurance provider and clinic on issues relating to claims with the aim...

  • Claims Executive

    2 weeks ago


    Singapore MHC MEDICAL NETWORK PTE. LTD. Full time

    **Responsibilities**: - Claims Assessment and Adjudication. - Assessment of Outpatient claims in accordance with policy contract and guidelines. - Ensuring claim is assessed correctly in accordance with policy contract and guideline and approved within Authority Limit given. - Ensuring claim settlement is concluded within the agreed Turnaround Time (TAT). -...


  • Singapore Chubb Full time

    Asia Medical Malpractice & Professional Indemnity Claims Manager Join to apply for the Asia Medical Malpractice & Professional Indemnity Claims Manager role at Chubb. Purpose The Asia Financial Lines claims book has evolved significantly over the past five years, particularly with the growth of Medical Malpractice (Med Mal) and Professional Indemnity (PI)...


  • Singapore OneCare Medical Group Full time

    OneCare 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 time

    Raffles 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...