Analyst, Group Claims

Overview 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 insurance plans, employee benefits, partnerships with financial adviser channels and bancassurance, and investment and advisory solutions through the GROW with Singlife platform. It also offers 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. It is an official signatory of the United Nations Principles for Sustainable Insurance and the United Nations-supported Principles for Responsible Investment. The merger of Aviva Singapore and Singlife was announced in September 2020 and created one of the largest homegrown financial services companies in Singapore. Singlife was subsequently acquired by Sumitomo Life in March 2024. Key Responsibilities 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 refund requests for overpayments from claimants, hospitals, insurers and CPF Board. 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 enhancements in claims system improvement, including data collection, UAT testing, and suggesting improvements to the claims assessment process to increase efficiency and accuracy. Identify potential fraud or inconsistencies and report them to management. Other assigned tasks. Experience / Requirements 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 and written communication. Personal Attributes Good problem solver. Team player with good interpersonal skills and highly energetic. Results-oriented. Open and growth mindset, willing to go 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). Seniority level Mid-Senior level Employment type Full-time Job function Finance and Sales Industries Insurance We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr