Manager, Medical Claims Manager, Medical Claims …

Great Eastern Life Assurance Co Ltd
in Singapore
Permanent, Full time
Last application, 10 Jun 21
Competitive
Great Eastern Life Assurance Co Ltd
in Singapore
Permanent, Full time
Last application, 10 Jun 21
Competitive
Manager, Medical Claims
Job Purpose

You will be handling insurance claims assessment under the accident and health plans. You will also be given the opportunity to be part of an exciting team with involvement in service excellence initiatives and projects to improve the claims experience.

The Job

  • Provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
  • Handle claim investigation, large claims and appeals
  • Build collaborative relationships with and ensure that claims are well managed for both internal and external key stakeholders (i.e policyholders, beneficiaries, distribution servicing representatives, medical institutions) to achieve business objectives
  • Deliver excellent service and e nhance customer and d istribution channels relationship management
  • Review claims processes and participate in process improvement projects, initiatives and system enhancement for the department, including establish claims best practices
  • Ensure compliance with internal and external regulatory and legal matter
  • Guide and train junior staff
  • Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks;
  • Maintain awareness of industry trends on regulatory compliance, emerging threats and appropriate steps to mitigate the risks; and
  • Highlight any potential concerns/risks and proactively shares best risk management practices.
  • Attend to claims enquiries
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