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Jobs or company...

Claims Specialist

Salary undisclosed

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JobStreet
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We are seeking dynamic professionals to join our newly developed claims team (KL) in our corporate managed healthcare business.

The Job:

  • Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and Letter Of Guarantee issuance to meet operational and SLA targets
  • Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience
  • Manage escalations and stakeholder relations
  • Being a champion for change as well as providing on-going training and development for effective claims management.
  • Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints
  • Conduct analysis, prepare periodic reports and presentation when required

Requirements:

  • Strong technical understanding of the claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment
  • Prior experience with a healthcare insurer provider is an advantage
  • Highly developed interpersonal skills
  • Excellent organisational skills and exceptional eye for details
  • Passionate about driving change to improve business outcomes.
  • Work independently with little guidance
  • Exceptional communication skills and stakeholder management skills

Interested applicant please click apply, or send in your resume to us. Kindly note that only shortlisted candidates will be contacted.

To know more about our organisation, please visit https://www.alliancehealthcare.com.sg

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