- 391A ORCHARD ROAD Central Region (Singapore) Singapore

Working Location
Job Description
Responsibilities
Jobs Responsibilities
Assess and adjudicate local and overseas medical and non medical claims within policy terms, authority limits and stipulated turnaround time.
Review and approve Pre Authorisation and LOG requests in accordance with policy conditions and MOH benchmarks.
Liaise with policyholders, healthcare providers, intermediaries and internal stakeholders to obtain information and resolve claim queries or disputes.
Manage claims payment processes including unsuccessful bank transfers, CPF failures, refunds, voids and reprocessing activities.
Update Statements of Account, prepare settlement letters and maintain proper documentation in shared systems.
Follow up on outstanding receivables and overpayments, including coordination with claimants, hospitals, insurers and CPF Board.
Support reporting requirements including daily claims reports, statistical analysis, trend monitoring and meeting minutes.
Participate in system enhancement projects, UAT testing and process improvements; identify potential fraud or inconsistencies and escalate where necessary.
Application Procedures
Interested candidates, please email your resume to:
Attention: Lynn Mak Ling Ling (CEI No. R1986990)
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Recruit Express Pte Ltd (EA No. 99C4599)
We regret that only shortlisted candidates will be notified.
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