Full Time Claim Processing Specialist Jobs, salary up to SGD 3,500 in PERSOL SINGAPORE PTE. LTD. - Ricebowl

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

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