MEDICAL CLAIM MANAGER

  • Other
  • Anywhere
  • Provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
  • Handle claim investigations and appeals
  • Deliver excellent service and enhance customer and distribution channels relationship management
  • Review claims processes and participate in process improvement projects, initiatives and system enhancement for the department, including establish claims best practices
  • Provide guidance to junior staff
  • Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
  • Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
  • Highlights any potential concerns /risks and proactively shares best risk management practices.

Requirements

  • Diploma in Nursing / or Professional Insurance Certificate with at least 5 years of relevant accident and health claims experience.
  • Mid-level claims assessors who are looking for greater challenges and greater exposures
  • Strong knowledge on integrated shield claim processes and industry initiatives in managing medical claim cost
  • Strong analytical, written and communication skills
  • Customer-centric and meticulous with the ability to work under pressure
  • Excellent interpersonal skills to effectively communicate with all stakeholders
  • Good medical knowledge and ability to explain medical conditions in insurance context
  • Good business acumen with long term vision
  • A team player
  • High level of integrity, takes accountability of work and good attitude over teamwork.
  • Takes initiative to improve current state of things and adaptable to embrace new changes.

Interested applicant please emailĀ  your detailed resume to career@abercare.sg or contact us at +65 6721 9231.

To apply for this job email your details to career@abercare.sg