Associate - Claims (SG Corporate Solution)

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About the Role

Assess outpatient and inpatient hospitalization claims from Group policyholders as per stipulated benchmarks and requirements.

• Responsible to assess and pay the outpatient and inpatient hospitalization claims.
• Responsible to review and pay cases that exceed authority limit.
• Meet department and individual quality target, turnaround time and productivity benchmark.
• Ensure all special account policy is attended and resolved within the agreed timeline.
• Communicate closely with 24/7 contact centre and ensure emails are responded timely.
• Assisting team members within the team as and when required.
• Assist on general administration and any special allocated tasks as and when required.
• Seek to understand rationale with facts for better claims analysis.