Executive/Senior Executive, Claims - #1100240

About the Opportunity

We are seeking for dynamic professionals to join our Claims team in our corporate managed Healthcare business.

What You'll be Doing

• Provide accurate and efficient adjudication of claims, validation, pre-authorization of applications and Letter Of Guarantee (LOG) issuance to meet operational and SLA targets.
• Conduct regular review of current claims processes and working with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience.
• Manage escalations and stakeholder relations.
• Being a champion for change as well as providing on-going training and development for effective claims management.
• Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints.
• Conduct analysis, prepare periodic reports and presentation when required.

What We Are Looking for

• Strong technical understanding of the claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment.
• Highly developed interpersonal skills.
• Excellent organizational skills and exceptional eye for details.
• Passionate about driving change to improve business outcomes.
• Exceptional communication skills and stakeholder management skills.

We regret to inform that only shortlisted applicants will be notified for an interview.

To learn more about our Organization, please visit https://alliancehealthcare.com.sg.