Senior Executive, Claims Recovery (Health) - #1095029

Job Responsibilities: 

• Create and maintain recovery files for health insurance claims involving third-party recoveries or overpayments.  

• Liaise with internal teams such as Finance to ensure on-time and accurate posting of incoming recovery funds, and proper reconciliation. 

• Communicate with external stakeholders including third-party insurers, healthcare providers, lawyers etc. regarding claim recoveries details and refund requests 

• Prepare monthly recovery performance reports, highlighting key metrics and outstanding cases. 

• Monitor and follow up on refunds to and from CPF Board, and ensure they are correctly allocated and posted in the system. 

• Clear exception reports related to health claims recoveries and escalate unresolved items as needed. 

• Respond to enquiries from policyholders regarding recovery-related matters in a timely and professional manner. 

• Review and update Standard Operating Procedures (SOPs) regularly to ensure alignment with current practices, regulatory changes, and operational improvements. 

• Undertake any other duties and projects assigned by the supervisor.

Qualifications

• Possess a Degree/Diploma or equivalent

• Experience in the insurance industry with relevant insurance qualifications will be advantageous

• Competent with MS Office Applications (Excel, PowerPoint, Word)

• Team player and self-motivated

• Customer centric with good customer servicing skills

• Strong writing and communication skills

• Meticulous with a keen eye for details