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Supporting assigned channels by providing full claims support advisory.

Job Descriptions

• Process and decide on claim settlements and approve within authority limit
• Ensure all enquiries are responded in a timely manner
• Work closely with brokers/corporate clients/OSS on claims matters/enquiries/complaints
• Liaise with healthcare providers, TPAs
• Present to brokers/corporate clients on claim processes
• Tracking of operational statistics for Claims reporting
• Handling of exceptional claims escalated issues and appeals
• Perform claims audit/review as and when assigned
• Carry out task assigned by Team Lead and Head of Claims
• Managing and responding for escalation cases/requests from OSS Contact Centre, Claims, and PMM team, Brokers and Direct clients and internal sections
• Perform claims data analysis to monitor results and identify any gaps or trends as part of the Pro-Active Claims Management
• Plan and execute User Acceptance Test (UAT) Test scenarios for digital projects and system enhancement
• Support any other enhancements, internal and external projects as assigned

Job Requirements

• Degree Holder in Business or a related discipline preferred
• Prior experience of no less than 3 years in Employee Benefits Claims or Medical Claims or Third-Party Administration management
• Strong analytical and problem-solving skills, in developing solutions via digitalization, interest in operational systems and its efficiency
• Good verbal & written communication skills and good interpersonal skills
• Able to multi-task, meet tight deadlines and work in fast paced environment
• The individual will need to be self-motivated, highly organized, able to work independently and goal oriented
• Experience in data analysis is added advantage

Build a career with us as we help our customers and the community live healthier, longer, better lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.