1 Year Contract Claims Analyst (Group Insurance / Medical Claims) #BLM

Jobs Responsibilities

• Review and assess local and overseas medical and non medical insurance claims in accordance with policy terms, authority limits and established turnaround times.
• Review Pre Authorisation and Letter of Guarantee requests; assess eligibility based on policy coverage and applicable medical benchmarks.
• Liaise with policyholders, healthcare providers, intermediaries and internal teams to obtain information, resolve claim queries and handle disputes.
• Process claim settlements and payment related activities including refunds, unsuccessful transfers, CPF related cases, receipt cancellations and claim reprocessing.
• Monitor outstanding receivables and overpayments; coordinate recovery or refunds with claimants, hospitals, insurers and relevant parties.
• Prepare claims reports and analysis; support UAT, system enhancements and process improvements while identifying and escalating potential fraud or claim inconsistencies.

Application Procedures

Interested candidates, please email your resume to:

Attention: Lynn Mak Ling Ling (CEI No. R1986990)

[email protected]

Recruit Express Pte Ltd (EA No. 99C4599)

We regret that only shortlisted candidates will be notified.