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 Sign in to view email

Leon Leong De Cong

R1551708

Recruit Express Pte Ltd

EA License No. 99C4599