Claims Specialist
1 month ago
Senior Analyst
What can you expect?
We are looking to hire a Senior Analyst in the Healthcare Claims Adjudication and email enquiries Team. The role will be responsible for processing & validating the claims adjudication of medical claims for the employees of our clients based in Singapore. The role also demands to resolve email enquiries of the employees related to settlement disputes, claims status, estimation of benefits coverage, product coverage etc.
What is in it for you?
- Medical insurance, personal accident insurance, group term life insurance from the day you join us- Holidays (Location Specific)- Shared Transport (Provided the address falls in service zone)
We will count on you to:
- Process & Validate various insurers decision on settlement of health claims – verification of bills under various health product- Email enquiries handling for health insurance products – policies like GOC, GOS, GHS, GBT etc- Updating all documentation and training of team members- Drive the culture of First Time Right- Preparation of Month end/Weekly/Daily Reports- Support self-development (cross trainings, process training, soft skill trainings etc)- Support all projects and quality initiatives – Process improvement ideas
What you need to have:
- Graduation / Post-graduation in any stream- 1+ years of experience purely in healthcare claims management - verification of bills under various health products- Exceptional written & verbal communication skills- Experience in Email query handling for health insurance products – policies like GOC, GOS, GHS, GBT etc- Should be good at basic calculations – calculating prorated benefits, calculating final benefits
Education:
- Graduate (any stream)
What makes you stand out?
- Excellent Communication Skills both written & verbal- Executive presence that conveys composure and confidence in all situations- Strong analytical, research and problem solving skills, attention to details
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