Claims Specialist

We are seeking dynamic professionals to join our newly developed claims team (KL) in our corporate managed healthcare business.
The Job: Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and Letter Of Guarantee issuance to meet operational and SLA targetsConduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experienceManage escalations and stakeholder relationsBeing a champion for change as well as providing on-going training and development for effective claims management.Liaise with the Insurance Company to verify exceptions as well as to resolve any complaintsConduct analysis, prepare periodic reports and presentation when required Requirements: Strong technical understanding of the claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environmentPrior experience with a healthcare insurer provider is an advantageHighly developed interpersonal skillsExcellent organisational skills and exceptional eye for detailsPassionate about driving change to improve business outcomes.Work independently with little guidanceExceptional communication skills and stakeholder management skills Interested applicant please click apply, or send in your resume to us. Kindly note that only shortlisted candidates will be contacted.
To know more about our organisation, please visit https://www.alliancehealthcare.com.sg