At Great Eastern, we're redefining what it means to be a claim professional. Join a passionate team where your medical knowledge, analytical skills, and attention to detail will directly impact the lives of our customers and the future of life insurance. You will be responsible for the accurate and timely assessment of life insurance claims, ensuring fair outcomes in accordance with policy terms, service standards, and regulatory requirements. You'll also be empowered to contribute to service excellence initiatives that enhance the overall claims experience. It's a career path that builds deep expertise in claims assessment and customer care.
- Claims Assessment & Decision Making Assess and approve life claims and appeals accurately within established turnaround times, in line with policy provisions and authority limits. Evaluate medical, financial and supporting claim documentation, ensuring appropriate claim decisions and reserve adequacy. Manage claim investigations and appeals, including clarification with medical institutions, policyholders, and internal stakeholders. Review of pending claims to ensure timely resolution and proper closure. Identify claim patterns and unusual or inappropriate practices and recommend improvements to strengthen claims controls and streamline claim processes.
- Stakeholder & Customer Engagement Collaborate with medical institutions, policyholders, and internal stakeholders to gather and clarify clinical information or outstanding requirements. Deliver high standards of customer service and strengthen relationships with customers and distribution channels.
- Delivery of Service Excellence Provide clear, empathetic communication timely to policyholders, claimants and agents medical professionals, and internal stakeholders, making the claims process smooth and transparent.
- Ensure Compliance Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations. Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks. Maintain awareness of industry trends on regulatory compliance, emerging threats and appropriate steps to mitigate the risks. Highlight any potential concerns/risks and proactively shares best risk management practices.
- Holds a Bachelor's degree or Professional Insurance Certificate or a related insurance or healthcare discipline
- 3–5 years of experience in relevant life and/or health claims experience
- Strong grasp of medical practices, terminology, ICD/CPT codes, and insurance policy terms
- Strong analytical skills with ability to interpret complex medical data, spot trends, and make sound decisions under pressure
- High attention to detail with strong decision-making discipline
- Detail-oriented with a proven track record of managing high processing volumes without compromising quality
- Are customer-focused and excellent at building relationships with stakeholders and delivering clear, empathetic communication
- Team players; are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence
How You Succeed
- Champion and embody our Core Values in everyday tasks and interactions.
- Demonstrate high level of integrity and accountability.
- Take initiative to drive improvements and embrace change.
- Take accountability of business and regulatory compliance risks, implementing measures to mitigate them effectively.
- Keep abreast with industry trends, regulatory compliance, and emerging threats and technologies to understand and highlight potential concerns/ risks to safeguard our company proactively.
Who We Are
Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei. The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of AA- by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia. Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world's most highly-rated banks, with an Aa1 rating from Moody's and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World's Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker.
To All Recruitment Agencies
Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.
Work Locations
SG-GE Centre
