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