Medical Claim Assessor (SG CS Claims)

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

Job Responsibilities:

• 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.

Job Requirements:

• Education: Degree in Bioscience, Medical Science, Nursing related field of study.

• Language: Proficient in spoken English and Mandarin

• and follow respective country's requirements

• Experience: At least 2 years working experience as Claims Assessor in Insurance Industry, fresh graduate are encouraged to apply

• Proficient in Microsoft Office (Word and Powerpoint).

• Self-motivated and customer orientated.

• Sound problem solving.

• Time management skills.

• Able to commit for long working hour including weekend and public holiday.