Job Description
Review and assess medical and non-medical insurance claims in accordance with policy terms and approval limits • Evaluate and process pre-authorisation and Letter of Guarantee (LOG) requests based on guidelines and regulatory benchmarks • Communicate with policyholders, healthcare providers, and stakeholders to obtain required information and clarify claim details • Handle claims processing tasks including payment follow-ups, reprocessing, refunds, and updates for failed transactions • Maintain accurate records, including claims documents, statements of accounts, and settlement letters • Manage enquiries, disputes, and billing-related follow-ups in a professional and timely manner • Follow up on outstanding receivables and coordinate refunds or adjustments with relevant parties • Prepare reports, meeting minutes, and basic claims analysis for management review • Support system improvements, UAT testing, and process enhancement initiatives • Identify irregularities or potential fraud and escalate for further review • Perform ad-hoc duties as assigned to support the claims function Interested applicants may email resume to kellychooi@recruitexpress.com.sg Chooi Kelly (CEI Registration No: R25136207) Recruit Express Pte Ltd (EA: 99C4599) We regret only shortlisted candidates will be contacted
