Claims Analyst (Group Medical Claims, Pre-Authorisation, Insurance Operations) #HDC1

A leading insurer is looking for a Claims Analyst to assess medical and non-medical claims accurately and within turnaround time. You will work closely with providers, policyholders and internal teams.

What You'll Be Doing

• Review and assess local and overseas medical and non-medical claims against policy terms and authority limits
• Review and approve pre-authorisation and letter-of-guarantee requests in line with policy terms and regulatory benchmarks
• Liaise with medical providers, policyholders and intermediaries for additional information
• Follow up on failed bank transfers and payment rejections, including voiding, refund entries and reprocessing
• Request and track the creation of insured members and medical service providers in the system
• Prepare claim settlement letters and file claim documents accurately
• Update statements of accounts relating to hospital bills and claim settlements
• Resolve claim queries and disputes professionally and efficiently
• Follow up with clinics and hospitals on billing enquiries
• Meet turnaround time and quality targets consistently

What You'll Bring

• Diploma or Degree in Business, Insurance, Finance or a related discipline and above
• Strong Excel skills, including formulas and data checks
• Insurance experience required; group claims experience is a strong advantage
• Good understanding of medical claims and billing is helpful
• Meticulous with strong attention to detail
• Strong communication and stakeholder-handling skills
• Able to meet deadlines and manage multiple cases
• Team player who works well independently

What's In It For You

• Office hours, Monday to Friday
• Exposure to group insurance claims operations
• Convenient central location near MRT

Interested? Click Apply or send your updated CV to [email protected]

Leon Leong De Cong
R1551708
Recruit Express Pte Ltd
EA License No. 99C4599