Analyst, Group Claims

Overview Join to apply for the Analyst, Group Claims role at Singlife . Singlife is a leading homegrown financial services company offering consumers a better way to financial freedom. Through innovative, technology-enabled solutions and a wide range of products and services, Singlife provides consumers control over their financial wellbeing at every stage of their lives. Singlife offers a comprehensive suite of insurance plans, employee benefits, partnerships with financial adviser channels and bancassurance, investment and advisory solutions through its GROW with Singlife platform, and the Singlife Account, a mobile-first insurance savings plan. Singlife is the exclusive insurance provider for the Ministry of Defence, Ministry of Home Affairs and Public Officers Group Insurance Scheme and is an official signatory of the United Nations Principles for Sustainable Insurance and responsible investment. Singlife was acquired by Sumitomo Life in March 2024, valuing the company at S$4.6 billion. Purpose of the Role Review and assess local and overseas medical and non-medical claims within policy terms and conditions and claims authority limit within stipulated turnaround time. Review and approve Pre-Authorisation/LOG requests within policy terms and conditions and MOH benchmark. Coordinate with medical providers, policyholders, and other stakeholders for additional information when necessary. Handle follow-ups on claims with unsuccessful bank transfers and CPF failures, such as voiding claims, creating refund entry and reprocessing of claims. Request and follow up on the creation of insured members and medical service providers for affected claims. Prepare claim settlement letters and scan claims documents to shared drive. Update Statements of Accounts relating to hospital bills/claim settlements. Communicate with policyholders, healthcare providers, intermediaries and internal teams to resolve issues and clarify claim details. Address claim disputes or queries from clients or intermediaries in a professional and efficient manner. Follow up with clinics/hospital for enquiries on billing details. Follow up on monthly outstanding receivables, including overpayments refund from relevant parties. Prepare meeting minutes and reports, including daily claims report, statistical analysis and trends. Handle finance and payment activities including voiding claims, creating refund entries, raising and approving receipt voucher cancellations and cheque cancellations. Participate in projects and enhancement in claims system improvement including data collection, UAT testing and suggest improvements to the claims assessment process to increase efficiency and accuracy. Identify potential fraud or inconsistencies and report them to management. Other assigned tasks. Key Responsibilities Assess claims using Group Insurance core systems, other business systems including vendors’ systems. Communicate claims decision clearly. Respond to queries in a timely manner. Manage workload to achieve required service levels. Arrive at customer‑orientated outcomes by working with key stakeholders. Participate in activities that improve processes, productivity, and services and solutions to customers. Engage key stakeholders when handling appeal cases or complex cases. Establish good working relationship with intermediaries and clients. Key Decisions Within the Role Approval of claims within Claims Authority Limit. Recommend claims decision if the case is above approval limit. Complete assigned tasks independently and within stipulated timelines. Requirements – Experience Familiar with group insurance products like Group Term Life, Group Personal Accident, Group Disability Income, Group Critical Illness, Group Hospitalisation & Surgical and Group Outpatient. Group Claims Experience of at least 3 years, Good Oral & Written Communication. Personal Attributes Good problem solver. A good team player with interpersonal skills and highly energetic. Results oriented. Open and growth mindset, willing to step up beyond the call of duty. Education Completion of Health Insurance Certificate, M5 & M9 is preferred. Diploma or Degree. Good Microsoft Office Skills (Word, Excel, PowerPoint). #J-18808-Ljbffr