What You'll be Doing
- Provide accurate and efficient adjudication of claims, validation, pre-authorization of applications and Letter Of Guarantee (LOG) issuance to meet operational and SLA targets.
- Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience.
- Manage escalations and stakeholder relations.
- Being a champion for change as well as providing on-going training and development for effective claims management.
- Liaise with the Insurance Companies to verify exceptions as well as to resolve any complaints.
- Conduct analysis, prepare periodic reports and/or presentations when required.
What We Are Looking for
- Strong technical understanding of the claims process for medical claims, particularly in a Third-Party Administrator/Managed Healthcare environment.
- Highly developed interpersonal skills.
- Excellent organizational skills and exceptional eye for details.
- Passionate about driving change to improve business outcomes.
- Exceptional communication skills and stakeholder management skills.
We regret to inform that only shortlisted applicants will be notified for an interview.
To learn more about our Organization, please visit https://alliancehealthcare.com.sg.
