Medical Claims Executive

What will your role be?

• To assist members with medical claims management and hospital admission support.
• To process medical claims submissions received competently within the stipulated turnaround time (TAT) and in accordance with the standard operating procedure (SOP).
• To follow-up and ensure all requests for supporting documents and/or information relevant to the assessment of a medical claim are promptly obtained from members.
• To ensure all medical claims submissions received are completed and settled within the agreed TAT to meet the service charter.
• To attend to all medical claims inquiries / correspondences / complaints promptly and effectively.
• To handle Letter of query / acceptance and /or redeclaration of medical condition.
• To conduct analysis on medical claims / hospital admission and prepare timely report for management review.
• To conduct presentation and health awareness talk.
• To handle hospital admission inquiries during and after office hours and during weekend (on rotation basis).
• To perform any other duties / assignments / ad-hoc tasks assigned by the superior from time to time.

What will you need for this role?

• Candidate must possess at least a Diploma / Bachelor’s Degree in Medicine / Nursing.
• Candidate with technical knowledge of medical claims or relevant working experience in a Third Party Administration (TPA) / Insurance Industry will be an added advantage.
• Good command in English & Mandarin.
• Must be able to work in a fast paced environment, independent with proactive working attitude and strong sense of responsibility.
• Service oriented with good communication, interpersonal and customer engagement skills
• Computer literate with knowledge of Microsoft Office applications.
• Willing to work after office hours and during weekend as and when required (on rotation basis).

What do we provide?

• Learning opportunity, and fast-tract career progression awaits the right candidate
• Attractive remuneration commensurate with experience and qualification
• Company handphone
• Parking subsidy
• Strong team spirit “all-for-one”, and Happy & Fun work place
• Open communication at all level, and we practice - "Acknowledge-Connect-Engage"
• Other benefits: Staff Group Medical coverage, staff discount for Individual Medical, Term Life and PA coverage, Flexible working hours, Sports and Recreational Club etc