We are seeking a highly skilled and detail-oriented professional to join our Life Claims team as a Senior Claims Assessor. This role is critical in ensuring the accurate and timely assessment of legitimate life insurance claims, while upholding the highest standards of service and compliance. The role will also be given the opportunity to be part of an exciting team with involvement in service excellence initiatives and projects to improve the claims experience.
The Job
- Manage and assess life claims, including appeals with sound medical knowledge and adherence to policy terms.
- Ensure timely and accurate claim decisions in line with service standards, regulatory requirements and legal matters.
- Engage with medical professionals, hospitals, policyholders and claimants to obtain necessary documentation and clarify clinical details for claim evaluation to achieve timely closure and resolution.
- Deliver excellent service and enhance customer and distribution channels relationship management.
- Collaborate with internal stakeholders to improve claims processes and contribute to continuous improvement initiatives.
- Mentor and guide junior staff.
- Undertake additional responsibilities as assigned by the supervisor, demonstrating flexibility and commitment to organizational needs.
- 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
- Degree with at least 8 years of experience in life claims assessment or with relevant experience.
- LOMA (ALMI Level) and ICA Associate certifications are required.
- Strong understanding of medical terminology including of ICD and CPT codes, life insurance claim practices and insurance policies.
- Excellent communication and stakeholder management skills.
- Strong analytical, meticulous and good problem-solving skills
- A positive and motivated individual who is customer-centric and meticulous with the ability to work under pressure.
- A team player.
- Good business acumen with long term vision.
- High level of integrity, takes accountability of work and good attitude over teamwork.
- Take the initiative to improve the current state of things and adapt 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
Insurance Operations
