**
Prudential Corporation Asia Ltd is seeking a Medical Claims Consultant in Singapore to assess and adjudicate medical claims within various lines of business. The role requires a qualified medical professional with experience in claims assessment, compliance, and stakeholder collaboration.
**
Job Summary
The position entails a qualified and experienced medical profession to support our claims teams in various lines of business, namely individual life, health and group employee benefits, concerning but not limited to claims assessment, adjudication and cost containment.
The individual is also involved in representing the claims team in case of adjudication disputes, e.g. FIDReC wherever medical expertise is required.
Contribute to the development and enhancement of policy wording based on medical best practices and ensure claims team is abreast with medical advancement, treatment protocols, clinical guidelines and regulatory changes/requirements.
Matching Summary
Match Score: 75
**
Prudential Corporation Asia Ltd is seeking a Medical Claims Consultant in Singapore to assess and adjudicate medical claims within various lines of business. The role requires a qualified medical professional with experience in claims assessment, compliance, and stakeholder collaboration.
**
Skills & Requirements
Must-have
Medical claims assessment
Policy interpretation
Stakeholder collaboration
Medical expertise
Claims adjudication disputes
Nice-to-have
Strong communicator with positive influence
Adaptable and thrive in dynamic work environment
Design focused, resourceful, and results-driven
Key Requirements
MBBS or equivalent medical degree
Valid medical license/registration in Singapore
Minimum 5 years of clinical experience
Familiarity with ICD coding and medical terminology