Health Insurance Claim Processing jobs
- PERSOL SINGAPORE PTE. LTD.Singapore
- Evaluate medical, financial and supporting claim documentation, ensuring appropriate claim decisions and reserve adequacy.
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- Income Insurance LimitedSingapore
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- PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE)...Singapore
- Life insurance
- Conduct daily outbound calls to customers and promote the benefits of a recovery claim.
- Experience in integrated shield/ life insurance/ claims will be…
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- Income Insurance LimitedSingapore
- Experience in Shield claim processing and assessment will be an advantage.
- Ability to professionally manage insurance claims enquiry and negotiations.
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- China Taiping Insurance Singapore Pte. LtdSingapore 079909
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- FULLERTON HEALTHCARE GROUP PTE. LIMITEDSingapore
- Ensure timely conclusion of LOG processing within agreed turnaround time.
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- FULLERTON HEALTHCARE GROUP PTE. LIMITEDSingapore
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- PACIFIC PRIME INSURANCE BROKERS SINGAPORE PTE....Singapore
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- HONG XIN DA PTE. LTD.Singapore 619735
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- Aleph LabsSingapore 238316
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- PPT ENERGY TRADING SINGAPORE PRIVATE LIMITEDSingapore
- Professional development
- Professional development assistance
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Executive, Key Accounts
Often replies in 3 dayscnrst Pte LtdAnson Road- Professional development
- Professional development assistance
- Health insurance
- Manage and coordinate insurance claims submitted by key account clients, ensuring timely and accurate processing.
- Analytical mindset with attention to detail.
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- InterContinentalSingapore
- Annual health screening
- Health insurance
- Vision insurance
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- Collate suppliers’ documentation for processing.
- Ensure all invoices have the appropriate documentation attached and approvals prior to processing.
- Powerplus Group Pte LtdSingapore 408587
- Parental leave
- Health insurance
- Dental insurance
- Parental leave support
- Prepare payroll, fill Employment Income and claim government paid leaves.
- Responsible for the full set of accounts e.g. AP/AR/GL.
- Handle Tax and GST submission.
Clinic Executive
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- Employee discount
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Job Post Details
Claim Processing Specialist - job post
Job details
Pay
- $3,200 - $3,500 a month
Job type
- Contract
Shift and schedule
- Monday to Friday
Location
Full job description
Job Details:
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Contract Duration: 12 Months
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Location: Raffles Place
-
Working Days & Hours: Mon - Fri, 9am - 6pm
The Job
1. Claims Assessment & Decision Making
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Assess and approve personal accident claims accurately within established turnaround times, in line with policy provisions and authority limits.
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Evaluate medical, financial and supporting claim documentation, ensuring appropriate claim decisions and reserve adequacy.
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Manage claim investigations, including clarification with medical institutions, policyholders, and internal stakeholders.
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Review of pending claims to ensure timely resolution and proper closure.
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Identify claim patterns and unusual or inappropriate practices and recommend improvements to strengthen claims controls and streamline claim processes.
2. Stakeholder & Customer Engagement
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Collaborate with medical institutions, policyholders, and internal stakeholders to gather and clarify clinical information or outstanding requirements.
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Deliver high standards of customer service and strengthen relationships with customers and distribution channels.
3. Delivery of Service Excellence
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Provide clear, empathetic communication timely to policyholders, claimants and agents medical professionals, and internal stakeholders, making the claims process smooth and transparent.
4. Ensure Compliance
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Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations. Take accountability in considering business and regulatory
Requirements
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Holds a Bachelor’s degree or Professional Insurance Certificate or a related insurance or healthcare discipline
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3–5 years of experience in relevant accident, health or life claims experience
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Strong grasp of medical practices, terminology, ICD/CPT codes, and insurance policy terms
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Strong analytical skills with ability to interpret complex medical data, spot trends, and make sound decisions under pressure
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High attention to detail with strong decision-making discipline
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Detail-oriented with a proven track record of managing high processing volumes without compromising quality
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Are customer-focused and excellent at building relationships with stakeholders and delivering clear, empathetic communication
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Team players; are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence
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