Insurance Claim Admin

Job Details

• Contract Duration: 12 Months

• Location: Raffles Place

• Working Days & Hours: Mon - Fri, 9am - 6pm

The Job

1. Claims Assessment & Decision Making

• Assess and approve personal accident claims accurately within established turnaround times, in line with policy provisions and authority limits.

• Evaluate medical, financial and supporting claim documentation, ensuring appropriate claim decisions and reserve adequacy.

• Manage claim investigations, including clarification with medical institutions, policyholders, and internal stakeholders.

• Review of pending claims to ensure timely resolution and proper closure.

• Identify claim patterns and unusual or inappropriate practices and recommend improvements to strengthen claims controls and streamline claim processes.

2. Stakeholder & Customer Engagement

• Collaborate with medical institutions, policyholders, and internal stakeholders to gather and clarify clinical information or outstanding requirements.

• Deliver high standards of customer service and strengthen relationships with customers and distribution channels.

3. Delivery of Service Excellence

• Provide clear, empathetic communication timely to policyholders, claimants and agents medical professionals, and internal stakeholders, making the claims process smooth and transparent.

4. Ensure Compliance

• Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations. Take accountability in considering business and regulatory

Requirements

• Holds a Bachelor’s degree or Professional Insurance Certificate or a related insurance or healthcare discipline

• 3–5 years of experience in relevant accident, health or life claims experience

• Strong grasp of medical practices, terminology, ICD/CPT codes, and insurance policy terms

• Strong analytical skills with ability to interpret complex medical data, spot trends, and make sound decisions under pressure

• High attention to detail with strong decision-making discipline

• Detail-oriented with a proven track record of managing high processing volumes without compromising quality

• Are customer-focused and excellent at building relationships with stakeholders and delivering clear, empathetic communication

• Team players; are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence

Interested candidates, please click on the following link to begin your job search journey and submit your curriculum vitae (CV) directly through the official PERSOL job application platform - GO.

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• PERSOL Singapore Pte Ltd
• RCB No. 200007268E
• EA License No. 01C4394
• Reg. R22111375 Chua Jie Lin