Contract: 12 Months
Location: Raffles Place
Working Hours: Monday – Friday, 9:00 AM – 6:00 PM
Salary: $3,200 – $3,500 (depending on experience)
Completion Bonus: 1 month bonus upon successful completion of 1-year contract
The Role:
1. Claims Assessment & Decision Making
- Assess and approve personal accident claims accurately within established turnaround times and policy guidelines.
- Review medical, financial, and supporting documentation to ensure appropriate claim decisions and reserve adequacy.
- Review pending claims to ensure timely resolution and proper closure.
- Identify claim patterns, anomalies, or potential abuse, and recommend process improvements to strengthen controls and efficiency.
2. Stakeholder & Customer Engagement
- Collaborate with medical institutions, policyholders, and internal stakeholders to obtain and clarify clinical information or outstanding requirements.
- Provide high standards of customer service and maintain strong relationships with customers and distribution channels.
3. Compliance
- Ensure adherence to internal policies and external regulatory requirements.
- Maintain integrity and accountability in all claims decisions in line with business and regulatory standards.
Requirements:
- Must have: Bachelor’s degree in insurance or healthcare / relevant professional Insurance Certificates
- Min. 3 years of experience in accident, health, or life claims.
- Strong understanding of medical terminology, healthcare practices, ICD/CPT codes, and insurance policy terms.
- Strong analytical skills with the ability to interpret complex medical data and make sound decisions under pressure.
- High attention to detail with the ability to manage high-volume workloads without compromising quality.
- Customer-focused with strong communication and stakeholder management skills.
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EA Reg. ID: R25157446 (Katherine Carlen)
PERSOL Singapore Pte Ltd • RCB No. 200007268E • EA License No: 01C4394