Claims Analyst (Group Insurance / Medical Claims) 1 Year Contract #NKC
Jobs Responsibilities Review and assess local and overseas medical and non medical insurance claims in accordance with policy terms, authority limits and established turnaround times. Review Pre Authorisation and Letter of Guarantee requests; assess eligibility based on policy coverage and applicable medical benchmarks. Liaise with policyholders, healthcare providers, intermediaries and internal teams to obtain information, resolve claim queries and handle disputes. Process claim settlements and payment related activities including refunds, unsuccessful transfers, CPF related cases, receipt cancellations and claim reprocessing. Monitor outstanding receivables and overpayments; coordinate recovery or refunds with claimants, hospitals, insurers and relevant parties. Prepare claims reports and analysis; support UAT, system enhancements and process improvements while identifying and escalating potential fraud or claim inconsistencies.
Interested applicants may email resume to kellychooi@recruitexpress.com.sg Chooi Kelly (CEI Registration No: R25136207) Recruit Express Pte Ltd (EA: 99C4599) We regret only shortlisted candidates will be contacted