Key Responsibilities
- Assess and process local and overseas group insurance claims accurately within policy terms and service turnaround time.
- Review and approve Pre-Authorisation and Letter of Guarantee (LOG) requests in accordance with policy guidelines and MOH benchmarks.
- Liaise with policyholders, healthcare providers, intermediaries and internal stakeholders to resolve claims enquiries and obtain supporting information.
- Handle claims administration, including payment processing, refunds, unsuccessful bank transfers, CPF-related transactions and outstanding receivables.
- Prepare claims correspondence, reports, meeting minutes and statistical analysis.
- Participate in system enhancement projects, UAT testing and process improvement initiatives.
- Identify potential fraud or claim inconsistencies and escalate when necessary.
Requirements
- Experience in Group Insurance Claims, preferably covering Group Life, Personal Accident, Critical Illness, Disability Income, Hospitalisation & Surgical and Outpatient products.
- Good communication and stakeholder management skills.
- Proficient in Microsoft Office applications (Word, Excel and PowerPoint).
- Health Insurance Certificate, M5 and M9 certifications are advantageous.
Interested applicants please email your resume to [Confidential Information]
Ivy Tham Yi Ru (R1104692)
Recruit Express Pte Ltd (EA Number: 99C4599)
