Senior Executive, Claim Operation (2 years contract) - #1096472

The Life and Health Operations (LHO) department plays a key role in delivering affordable and comprehensive life and health products with efficient service. As a Senior Executive in the Claim Operation Specialist Unit, you will support claims operations through product and system reviews, documentation governance, peer reviews, and process improvement initiatives. You will report to the Section Lead and work closely with the claims processing team and other internal stakeholders.

Key Responsibilities

• Product & System Support

  • Assist in reviewing product specifications and claims-related contract terms for Life and Medical plans.

  • Support requirement gathering and documentation for system enhancements.

  • Participate in user testing and provide feedback on system changes from a claims perspective.

  • Help coordinate inputs from claims teams for product or system-related discussions.

• Governance & Documentation

  • Maintain and update work instructions and operational documentation.

  • Support governance activities to ensure compliance with internal controls and claims procedures.

  • Assist in preparing materials for audits and internal reviews.

• Peer Review & Quality Assurance

  • Conduct peer reviews of claims to ensure accuracy and consistency.

  • Identify areas for improvement and escalate issues or trends to the Section Lead.

• Process Improvement & Project Support

  • Participate in process improvement initiatives to enhance claims efficiency and service quality.

  • Support operational projects and contribute ideas for best practices.

• Stakeholder Communication

  • Assist in preparing briefings and communications to internal stakeholders on system or product changes.

  • Liaise with internal departments (e.g., IT, Compliance, Product) and external parties (e.g., hospitals, CPF Board) as needed.

Qualifications & Requirements

• Diploma or Degree holder with at least 3–5 years of experience in life and health claims processing.

• Familiarity with Life and Integrated Shield claim processes.

• Strong understanding of policy terms and claims assessment principles.

• Good analytical and problem-solving skills.

• Strong written and verbal communication skills.

• Detail-oriented, organized, and able to manage multiple tasks.

• Proficient in Microsoft Office and comfortable with system testing or documentation.