35 Claims Processing jobs in Singapore

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)

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

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)

• Support/Review System Set Up for New, Renewing and Mid-term policies changes ensuring claims processes can be optimised and customer journey will be smooth.
• Tracking of operational statistics for Claims reporting
• Handling of exceptional claim's escalated issues and appeals
• Perform claims audit/review as and when assigned
• Carry out task assigned by Team Lead and Head of Claims
• Perform claims data analysis to monitor results and identify any gaps or trends as part of the Pro-Active Claims Management
• Plan and execute User Acceptance Test (UAT) Test scenarios for digital projects and system enhancement
• Support any other enhancements, internal and external projects as assigned

• Minimum 5 years' experience in Employee Benefits operations or claims or customer relations area.
• Strong analytical and problem-solving skills, in developing solutions via digitalization, interest in operational systems and its efficiency.
• Analytical and detailed, comfortable working with spreadsheets and tableau and able to produce fact-based solutions.
• Experience in doing system requirements, UAT.
• Good verbal & written communication skills and good interpersonal skills
• Able to multi-task, meet tight deadlines and work in fast paced environment
• The individual will need to be self-motivated, highly organized, able to work independently and goal oriented

Responsibilities:

• Support/Review System Set Up for New, Renewing and Mid-term policies changes ensuring claims processes can be optimised and customer journey will be smooth.
• Tracking of operational statistics for Claims reporting
• Handling of exceptional claim's escalated issues and appeals
• Perform claims audit/review as and when assigned
• Carry out task assigned by Team Lead and Head of Claims
• Perform claims data analysis to monitor results and identify any gaps or trends as part of the Pro-Active Claims Management
• Plan and execute User Acceptance Test (UAT) Test scenarios for digital projects and system enhancement
• Support any other enhancements, internal and external projects as assigned

Requirements:

• Minimum 5 years' experience in Employee Benefits operations or claims or customer relations area.
• Strong analytical and problem-solving skills, in developing solutions via digitalization, interest in operational systems and its efficiency.
• Analytical and detailed, comfortable working with spreadsheets and tableau and able to produce fact-based solutions.
• Experience in doing system requirements, UAT.
• Good verbal & written communication skills and good interpersonal skills
• Able to multi-task, meet tight deadlines and work in fast paced environment
• The individual will need to be self-motivated, highly organized, able to work independently and goal oriented

Responsibilities:

• Support/Review System Set Up for New, Renewing and Mid-term policies changes ensuring claims processes can be optimised and customer journey will be smooth.
• Tracking of operational statistics for Claims reporting
• Handling of exceptional claim’s escalated issues and appeals
• Perform claims audit/review as and when assigned
• Carry out task assigned by Team Lead and Head of Claims
• Perform claims data analysis to monitor results and identify any gaps or trends as part of the Pro-Active Claims Management
• Plan and execute User Acceptance Test (UAT) Test scenarios for digital projects and system enhancement
• Support any other enhancements, internal and external projects as assigned

Requirements:

• Minimum 5 years’ experience in Employee Benefits operations or claims or customer relations area.
• Strong analytical and problem-solving skills, in developing solutions via digitalization, interest in operational systems and its efficiency.
• Analytical and detailed, comfortable working with spreadsheets and tableau and able to produce fact-based solutions.
• Experience in doing system requirements, UAT.
• Good verbal & written communication skills and good interpersonal skills
• Able to multi-task, meet tight deadlines and work in fast paced environment
• The individual will need to be self-motivated, highly organized, able to work independently and goal oriented

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Adjuster, Motor to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team.

Make your mark in Claims

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.

How you will create an impact

• Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a consistently strong standard of customer service.
• Ensuring effective vendor and litigation management on Complex Claims within a personal allocation.
• Reporting key claims messages to their Team Manager and to internal stakeholders.
• Broader internal / external stakeholder communication where required as Auto Technical Claims Expert.
• Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes.
• Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes.
• Ensure adherence to best practice procedures for Auto Complex claims, consistent with global best practice.
• Demonstrate a high standard of technical claims competence. Demonstrate a strong standard of competence in handling intermediate to advanced complex Own Damage, Recoveries & Third Party claims in Auto within authority limits.
• Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense.
• Effective communication of key advanced Complex Claims and Auto Claims portfolio messages to internal stakeholders.
• Financial control through consistent reserve and other financial transaction discipline.
• Accurate and consistent policy interpretation.
• Attain objectives for assigned projects.
• Achieve benchmarks for claims processing and file closure.
• Handling of any other projects/tasks which may be assigned to you from time to time.

What you'll need to succeed

• BCP and PGI certification.
• Basic insurance knowledge with basic grounding on Auto Claims.
• Policy language skills enabling accurate and consistent policy wording interpretation.
• A basic knowledge of legal / regulatory and litigation / procedural requirements for the Auto line of business is preferred.
• Ability to work with claims stakeholders to effectively direct claims strategy.
• Good communication and customer servicing skills, both written & verbal.
• Time Management: ability to manage & prioritize workload.
• Good computer literacy skills.
• Ability to exercise initiative, adapt to a fast-paced environment and contribute effectively within a team setting.

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Complex Claims Adjuster, Motor to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.

Make your mark in Claims

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.

How you will create an impact

• Managing key claims handling enquiry; coverage determination, quantum analysis and legal liability assessment, where appropriate within authority limits and providing a consistently strong standard of customer service.
• Ensuring effective vendor and litigation management on Complex Claims within a personal allocation.
• Reporting key claims messages to their Team Manager and to internal stakeholders.
• Broader internal / external stakeholder communication where required as Auto Technical Claims Expert.
• Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes.
• Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes.
• Ensure adherence to best practice procedures for Auto Complex claims, consistent with global best practice.
• Demonstrate a high standard of technical claims competence. Demonstrate a strong standard of competence in handling intermediate to advanced complex Own Damage, Recoveries & Third Party claims in Auto within authority limits.
• Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense.
• Effective communication of key advanced Complex Claims and Auto Claims portfolio messages to internal stakeholders.
• Financial control through consistent reserve and other financial transaction discipline.
• Accurate and consistent policy interpretation.
• Attain objectives for assigned projects.
• Achieve benchmarks for claims processing and file closure.
• Handling of any other projects/tasks which may be assigned to you from time to time.

What you’ll need to succeed

• BCP and PGI certification.
• Basic insurance knowledge with basic grounding on Auto Claims.
• Policy language skills enabling accurate and consistent policy wording interpretation.
• A basic knowledge of legal / regulatory and litigation / procedural requirements for the Auto line of business is preferred.
• Ability to work with claims stakeholders to effectively direct claims strategy.
• Good communication and customer servicing skills, both written & verbal.
• Time Management: ability to manage & prioritize workload.
• Good computer literacy skills.
• Ability to exercise initiative, adapt to a fast-paced environment and contribute effectively within a team setting.