28 Claims Examiner jobs in Singapore

Job Title: Claims Associate (AMK-A), 2200 - 2900 + Performance Bonus

This role involves verifying and processing financial claims in accordance with established policies, guidelines and agreements.

The successful candidate will clarify claims details and support documents submitted by claimants, escalate complex cases for review and discussion with stakeholders, handle customer requests within established service standards and provide administrative support.

This is a renewable outsourced contract lasting 1-2 years. The working hours are from Monday to Friday, 8:30am to 6pm.

• Verify and process financial claims
• Clarify claims details and support documents
• Escala complex cases
• Handle customer requests
• Provide administrative support

To be successful in this role, the ideal candidate will possess the following qualifications and skills:

• Diploma holder with at least 3-5 years of relevant experience in claims/grants
• Good interpersonal and communication skills (oral and written)
• Strong code of work ethics and confidentiality of information
• Detailed and meticulous approach
• Diligent and committed to meet deadlines
• Good working knowledge of Microsoft Office, especially in using MS Excel

Seeking a medical expert to review and adjudicate complex claims, identify fraud, waste, or abuse.

• Adjudicate medical claims, analyzing evidence and identifying potential issues.
• Collaborate with stakeholders to investigate questionable claims and perform fact-finding.
• Negotiate with service providers on unreasonable charges and challenge inflated items.
• Apply clinical knowledge to support fair decisions, ensuring adherence to regulatory frameworks.
• Communicate adjudication outcomes clearly to agents, administration teams, and policyholders.
• Contribute insights to automated adjudication tools and process improvements.
• Meet timelines for claims adjudication, reporting, and closure.

• 3-5 years Clinical experience in Singapore
• Strong understanding of surgical codes
• Strong analytical thinking and communication skills
• Computer literacy – Microsoft Word and Excel
• Insurance-related adjudication experience a plus
• Suitable for nurses seeking a career change

We are seeking an experienced Human Resources Specialist to play a key role in Policy and SOPs reviews and assist with the implementation of our HR Information System.

• Creation and review of Standard Operating Procedures (SOPs) aligned with regulatory standards, internal controls, and organizational policies
• Review of Policies and Employee Handbook
• Data collection and document preparation for HRIS Implementation
• Support with various duties assigned by management and leadership teams
• Adherence to internal SOPs, financial, and procurement guidelines

• Bachelor's degree in Human Resources, Business Administration, or related field
• Minimum 3 years of experience in HR
• Experience in drafting and reviewing HR policies, SOPs, handbooks, or other related documentation
• Previous experience in the public/social service sector is an asset
• Able to work during designated weekends to support organizational events (compensated with time off)

We prioritize the well-being of our employees.

• Flexible working hours
• Annual bonuses
• Health insurance
• Wellness programs

Responsibilities

• Oversees all aspects of the database matching process, including making a final determination on acceptable documentation.
• Verifies financial aid applications according to guidelines, makes final decisions on eligibility and makes corrections as appropriate.
• Provides technological support to the financial aid team, including project management, data reporting, and other technology functions, as necessary.
• Reviews and resolves disbursement issues on loans if necessary.
• Provides customer service and counseling to patients via telephone or in-person regarding financial aid programs and sources of financing.
• Resolves any problems with a patient’s financial application.
• Reviews accounts with families and ensures aid has posted properly to account.
• Performs other duties as assigned.

Job Requirements:

• Diploma/Degree in any discipline
• 2-3 years of customer service/process financial claims is advantageous
• Excellent communication skills is a must
• Meticulous
• Proficient in Microsoft Office

If you are interested in this position, please send your most updated resume to .

Thank you.

Victoria Yam Wen Ting
R21103142
Recruit Express Pte Ltd (Healthcare & Lifesciences Division)

Responsibilities

• Oversees all aspects of the database matching process, including making a final determination on acceptable documentation.
• Verifies financial aid applications according to guidelines, makes final decisions on eligibility and makes corrections as appropriate.
• Provides technological support to the financial aid team, including project management, data reporting, and other technology functions, as necessary.
• Reviews and resolves disbursement issues on loans if necessary.
• Provides customer service and counseling to patients via telephone or in-person regarding financial aid programs and sources of financing.
• Resolves any problems with a patient’s financial application.
• Reviews accounts with families and ensures aid has posted properly to account.
• Performs other duties as assigned.

Job Requirements:

• Diploma/Degree in any discipline
• 2-3 years of customer service/process financial claims is advantageous
• Excellent communication skills is a must
• Meticulous
• Proficient in Microsoft Office

If you are interested in this position, please send your most updated resume to .

Thank you.

Victoria Yam Wen Ting

R21103142

Recruit Express Pte Ltd (Healthcare & Lifesciences Division)

As an Insurance Investigator, you will be instrumental in conducting thorough examinations of claims to ensure accurate compensation.

• Lead the investigation and evaluation of assigned claims, determining coverage and communicating with policyholders effectively.
• Based on the findings of your examination, communicate claim actions to policyholders and clients promptly and clearly.
• You will work closely with underwriters and clients on high-value and complex cases, providing expert guidance and support.
• To meet quality and production standards, you will maintain accurate and detailed documentation of claim files.
• You will review and interpret insurance policies and other reports to determine coverage, identifying areas of liability and potential risks.
• You will consult police records, hospital documents, and inspect damage to establish company liability, making informed decisions accordingly.
• In collaboration with clients, you will address salvage and subrogation matters as necessary.
• You will prepare comprehensive reports of your findings and negotiate settlements with clients, ensuring fair and satisfactory outcomes.
• You will accurately and timely update claim details into the claims management system.

• A diploma or degree qualification is required.
• Excellent communication skills are essential, with a strong emphasis on English proficiency.
• Strong report writing skills and the ability to articulate complex ideas effectively are crucial.
• You must possess strong interpersonal and leadership skills, with the ability to motivate and inspire others.
• A self-motivated individual with excellent time management skills and an organised approach to work is required.
• Solid IT skills are essential for success in this role.

We are seeking a highly skilled and organized individual to join our team as an Insurance Claims Coordinator. This role involves coordinating insurance claims for clients, purchasing policies, maintaining databases, and providing exceptional customer service.

Position Overview: We are seeking a detail-oriented and customer-focused Insurance Claims Professional to join our team.

Key Responsibilities:

• Process incoming insurance claims for accuracy and completeness.
• Gather necessary documentation, including medical records and other supporting documents.
• Enter claim information into the claims management system with precision and timeliness.
• Collect claim documents from company branches and maintain accurate and organized files.
• Adhere to all relevant policies, procedures, and regulatory guidelines.
• Identify and escalate complex or high-risk claims to senior processors or management.
• Contribute to a positive work environment and uphold a high standard of customer service.

Qualifications and Skills:

• High school diploma or equivalent required.
• Associate's or Bachelor's degree in Business Administration, Finance, or a related field preferred.
• Experience in insurance claims processing, administration, or a related field is preferred.

Requirements:

• Strong attention to detail and accuracy.
• Excellent written and verbal communication skills.
• Proficient in using claims management software and Microsoft Office Suite (Word, Excel, Outlook).
• Ability to prioritize tasks, manage time effectively, and work in a fast-paced environment.
• Customer service-oriented with a professional and empathetic demeanor.

Work Environment:

• Part-time position.
• 8 hours/day, for minimum 2 days/week.
• 9am~6pm working hour.

We are seeking a highly skilled Claims Recovery Specialist to join our team. In this role, you will be responsible for conducting outbound calls to customers who have recently made a hospitalisation claim, assisting and guiding them to submit claims to their other insurance providers, ensuring they fully maximise their entitled benefits.

• Reach out to customers regarding their recent claims through proactive phone engagement.
• Provide clear and empathetic support over the phone to ensure customer satisfaction.
• Handle follow-ups and ensure proper documentation of call outcomes.
• Work closely with internal teams to support the recovery process.

• Prior experience in telemarketing, call centre operations, or customer service is required.
• Experience in the insurance or financial services industry is an advantage.
• Good communication skills with a customer-first mindset.
• Able to work independently and as part of a team.

• Training provided for product and process knowledge.
• Positive and supportive team environment.
• Opportunity to gain exposure in the insurance and claims recovery sector.