Claims Officer - Raffles Health Insurance (6 months contract)

Job Responsibilities:

Weekly Payment Report

Submission of Weekly Payment Report to Finance, GIRO to Employee/Corporate and CPF submission

CPF online submission

Review claims submitted in Payment Report prior to submission to Finance

Work on payment issues with various parties for claim closure

Statement of Accounts (SOA)

Review SOA for Hospital bills

SOA Reconciliation

Communication with Hospital/Assessors for bills related issues.

Work with Finance on outstanding payment

Cashless Batch Upload

Daily review of batch upload to verify and rectify claims with errors.

Work with Clinics for claim discrepancies

Others

Monthly Panel claims/bills processing for major account

MATC claims assessment and processing for major account

Any ad-hoc duties as assigned

Job Requirements

Diploma holder with at least  1 year of relevant work experience  in the insurance industry is preferred

Has some knowledge of the claims policy processes

Good verbal and written communication skills, experience/exposure to customer service is advantageous

Meticulous and attention to details, able to work independently and follow through to meet tight timelines

Team player, fast learner and willing to contribute to a dynamic working environment