Claims Officer - Raffles Health Insurance (6 months contract)
RAFFLES MEDICAL GROUP LTD
Job Responsibilities
Weekly Payment Report
Submission of Weekly Payment Report to Finance, GIRO to Employee/Corporate and CPF submission
CPF online submission
Review claims submitted in Payment Report prior to submission to Finance
Work on payment issues with various parties for claim closure
Statement of Accounts (SOA)
Review SOA for Hospital bills
SOA Reconciliation
Communication with Hospital/Assessors for bills related issues.
Work with Finance on outstanding payment
Cashless Batch Upload
Daily review of batch upload to verify and rectify claims with errors.
Work with Clinics for claim discrepancies
Others
Monthly Panel claims/bills processing for major account
MATC claims assessment and processing for major account
Any ad-hoc duties as assigned
Diploma holder with at least 1 year of relevant work experience in the insurance industry is preferred
Has some knowledge of the claims policy processes
Good verbal and written communication skills, experience/exposure to customer service is advantageous
Meticulous and attention to details, able to work independently and follow through to meet tight timelines
Team player, fast learner and willing to contribute to a dynamic working environment