Claims & Operations Manager

4 weeks ago

Singapore PREMIUM CARE SG PTE. LTD. Full time

General Overview

Premium Care is in the healthcare industry, providing medical services to patients by facilitating our network of private doctors & private hospitals.

Full training will be provided

To assist, support and manage the daily operations of the business in areas such as administration, claims specific knowledge, industry stakeholders as well as internal process and standards.

Medical & insurance knowledge will be acquired throughout their training period.

Candidate will be expected carry out your duties to the best of your ability, having consideration for the needs of your team-mates, the company, and our partners/clients.

The role is part of the team and will require performance of tasks that are required, as &, when necessary, to maintain, promote, develop and expand the business and interests of the company generally.

This role will be one of the key support roles for our front-line business development team and to support our business partners in prospecting clients by providing medical administrative services as a value-added service

Claims expertise accounts for at least 50% of our value add to our clients.

Job Description

1) Client-related Services

  • Ensure the smooth running of patient care from admission to post-care by the In-House Consultants.
    • Ensure all communications are updated and closed tidily after proper archiving into cloud/server.
      • Ensure all documentation and approvals are duly submitted by In-house Consultants
        • Supervise team movement & calendars to ensure optimum productivity.
          • Ensure patients' post care follow ups are conducted with the goal to achieving the highest standard for excellent patient experience.
            • Conduct surveys and feedback from patients regularly for analysis to implement continual improvement in processes with the goal to improve company's image and branding.
              • Support the team with admission, discharge, and consultation as and when necessary
                • Assist management in all sales and marketing activities as and when required.

2) Claims-related Services

  • Ensure 99% success rate of claims approval is maintained.
    • Audit all claims forms and queries for a smooth approval process.
      • Ensuring all claims approval updates to stakeholders are prompt and accurate.
        • Manage and ensure all claims are submitted in a timely and orderly manner.
          • Supervise the Claims Team

3) System-related

  • Assist & support Finance and Admin department with IT needs and system developments.
    • Ensure accurate and updated data are captured in system at all time
      • Support with system development, roll-out and implementation
        • Any other ad-hoc tasks assigned by Company's management

Requirements:

1. Candidate must possess at least a Diploma/Degree

2. At least one year experience in relevated industry

3. Preferably relevant experience in Healthcare or Health Insurance with a strong interest in the local and regional healthcare industry

4. Required language(s): English and Chinese Mandarin in order to liaise with Chinese speaking customers and associates

5. A good team player, meticulous, organized and ability to adapt to company's culture

6. The company is looking for an independent individual with initiative and a pro-active attitude

7. Strong interpersonal and communication skills (written & verbal) in listening, understanding and resolving issues efficiently and effectively

8. Adaptable, resilient, ability to multi-task and to work well in a dynamic and fast-paced environment

9. Resourceful and analytical, with an eye for detail

10. Someone who enjoys learning and is willing to take on new challenges.

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