Medical Claim jobs
- PERSOL SINGAPORE PTE. LTD.Singapore
- Evaluate medical, financial and supporting claim documentation, ensuring appropriate claim decisions and reserve adequacy.
- Claims Assessment & Decision Making.
- PERSOL SINGAPORE PTE. LTD.Singapore
- Evaluate medical, financial and supporting claim documentation, ensuring appropriate claim decisions and reserve adequacy.
- Claims Assessment & Decision Making.
- PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE)...Singapore
- Life insurance
- Conduct daily outbound calls to customers and promote the benefits of a recovery claim.
- In this role, you will be part of the PruPanel Connect (PPC) programme…
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- PRUDENTIAL ASSURANCE COMPANY SINGAPORE (PTE)...Singapore
- Attend to medical clarification with hospitals and clinics.
- In this role, you will review, assess and approve shield claims within service turnaround time.
- PERSOL SINGAPORE PTE. LTD.Singapore
- Evaluate medical, financial and supporting claim documentation, ensuring appropriate claim decisions and reserve adequacy.
- Claims Assessment & Decision Making.
- AMPLIFY HEALTH ASIA PTE. LIMITEDSingapore
- Graduate Health Care qualification required, preferred academic background: MBBS, BDS, BHMS, BAMS, Physiotherapy, Pharmacy or any other medical field.
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- AMPLIFY HEALTH ASIA PTE. LIMITEDSingapore
- Graduate Health Care qualification required, preferred academic background: MBBS, BDS, BHMS, BAMS, Physiotherapy, Pharmacy or any other medical field.
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- HYPERSCAL SOLUTIONS PTE. LTD.Singapore
- Handle enquiries and correspondence of medical claims.
- Assist in the supervision and management of medical insurance claims.
- Income Insurance LimitedSingapore
- Experience in Shield claim processing and assessment will be an advantage.
- Assess policy liability, investigate claims and determine the claim amount payable…
- Singapore Technologies Engineering LtdSingapore
- Health insurance
- Process – Handling medical, transport, dental and other miscellaneous claims processing for clients in line with policies.
- Minimum ‘A’ Levels or Diploma.
- HYPERSCAL SOLUTIONS PTE. LTD.Singapore
- Handle enquiries and correspondence of medical claims.
- Assist in the supervision and management of medical insurance claims.
- HYPERSCAL SOLUTIONS PTE. LTD.Singapore
- Business Development experience in insurance, with particular emphasis on medical/ healthcare.
- Headquartered in Japan, MS&AD is amongst the top non-life…
- ALLIANZ INSURANCE SINGAPORE PTE. LTD.Singapore
- Knowledge in medical claims will be preferred.
- The commercial claim specialist plays a pivotal role in managing and assessing workman injury claims.
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- PERSOL SINGAPORE PTE. LTD.Singapore
- Handle OCR correction for data extracted for medical claims within the required turnaround time and ensure that claims are registered accurately in the system.
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- Singapore Medical GroupFarrer Park
- The Patient Service Associate will be responsible for providing excellent service to patients and ensuring smooth clinic operations.
- Minimum GCE N / ‘O’ level.
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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:
-
Contract Duration: 12 Months
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Location: Raffles Place
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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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