PERSOL Singapore Pte. Ltd. is seeking a Private Health Insurance Claims professional to manage Controlled Claims, conduct audits, and ensure compliance with company standards. The ideal candidate will have a medical background or relevant experience in health professions, alongside strong communication skills and a commitment to their responsibilities
Job Summary
The role involves providing medical guidance and managing controlled claims in compliance with contractual arrangements.
Candidates will conduct comprehensive claims audits according to an annual schedule and identify potential fraudulent activities.
The position requires being on standby for urgent claims approvals one week per month during after-office hours.
Matching Summary
Match Score: 85
PERSOL Singapore Pte. Ltd. is seeking a Private Health Insurance Claims professional to manage Controlled Claims, conduct audits, and ensure compliance with company standards. The ideal candidate will have a medical background or relevant experience in health professions, alongside strong communication skills and a commitment to their responsibilities.
Salary
6.8K SGD; Not specified; Not specified
Skills & Requirements
Must-have
Manage controlled health insurance claims
Conduct annual claims audits
Identify fraudulent claim activities
Prepare monthly management reports
Provide medical guidance on claims
Nice-to-have
Collaborate on policy wording improvements
Deliver training to external stakeholders
Strong communication with partners
Commitment to operational excellence
Key Requirements
Medical degree or nursing/allied health experience
Proven background in health insurance claims management
Strong understanding of healthcare and insurance sectors