Are you passionate about making a meaningful impact in the healthcare insurance space Join us as a Medical Claims Associate, where you'll play a vital role in ensuring our policyholders receive timely and accurate support when they need it most.
As part of our dynamic Health Claims team, you'll not only assess medical claims under our health plansyou'll also be empowered to contribute to service excellence initiatives and exciting projects that enhance the overall claims experience. This is more than just a job; it's a career path that builds deep expertise in claims assessment and customer care.
Deliver accurate and timely assessment of medical claims, ensuring prompt and fair payouts in line with service standards. Conduct review of pending claim to ensure reserve adequacy and closure of claims in a timely manner.
Liaise professionally with medical institutions and policyholders to clarify outstanding requirements and ensure smooth claims processing.
Conduct quality checks on processed claims to uphold high standards of accuracy and compliance on straight-through processing engine.
- Customer & Business Partner Relations
Provide excellent service and strengthen relationships with customers and distribution channels through responsive and empathetic support.
- Handle escalated claims enquiries
Attend to claims-related queries with clarity, care, and professionalism.
- 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; and
- Highlight any potential concerns/risks and proactively shares best risk management practices.
- Have 13 years of experience in insurance claims handing, customer servicing, nursing or related fields (fresh graduates with strong interest in claims are welcome to apply).
- Hold a Diploma or Degree in Business or Healthcare Administration, Nursing or any relevant discipline
- Possess strong analytical skills and attention to detail, with the ability to interpret medical reports and policy terms
- Are customer-focused, with excellent communication skills and a proactive approach to problem-solving
- Are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence
- Demonstrate high level of integrity, takes accountability of work and good attitude over teamwork
- Takes initiative to improve current state of things and adaptable to embrace new changes
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
Job
Claims
