Executive / Senior Executive, Claims (Accident & Health) - Singapore - EQ INSURANCE COMPANY LTD.

Description

Roles & Responsibilities

Responsibility

• Provide accurate and timely assessment of Accident & Health insurance claims within prescribed turnaround time
• Evaluate and negotiate the resolution of claims, while mitigating damages to achieve cost-effective claim outcomes
• Obtain reserving, settlement and payment authority in accordance with authority level within applicable Service Level Agreement
• Determine settlement amount and resolve claims settlement disputes using various mechanism such as arbitration and mediation (if any)
• Manage appeal process for rejected claims
• Detect potential fraudulent claims in line with organization policies and procedures
• Manage customer communications on claims matter
• Liaise with third party service providers and resolve issues in connection with claims processes and procedures
• Conduct regular file review
• Exercise good claims management to achieve a desired claims result

Requirement

• At least Diploma and above
• Possess Certificate in General Insurance and Health Insurance certificate
• At least 1 year of claims assessment experience
• At least 5 years of claims assessment experience ( for Senior Executive)
• Qualifications in Medical related courses or Experience in handling Medical Claims will be an added advantage
• Good communication, problem-solving, analytical and negotiation skills
• Team Player

Tell employers what skills you have

Negotiation
Arbitration
Claims Management
Microsoft Excel
Risk Assessment
Claims Handling
Agile
Service Level
Mediation
Written Communications
Adaptability
Dispute Resolution
General Insurance
Subrogation
Customer Satisfaction
Team Player
Health Insurance
Fraud Risk Management
Able To Work Independently