Vacancy Description
Responsibilities
- Review and assess medical and non-medical insurance claims in accordance with policy terms and approval limits
- Evaluate and process pre-authorisation and Letter of Guarantee (LOG) requests based on guidelines and regulatory benchmarks
- Communicate with policyholders, healthcare providers, and stakeholders to obtain required information and clarify claim details
- Handle claims processing tasks including payment follow‑ups, reprocessing, refunds, and updates for failed transactions
- Maintain accurate records, including claims documents, statements of accounts, and settlement letters
- Manage enquiries, disputes, and billing‑related follow‑ups in a professional and timely manner
- Follow up on outstanding receivables and coordinate refunds or adjustments with relevant parties
- Prepare reports, meeting minutes, and basic claims analysis for management review
- Support system improvements...
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Submit your application for Insurance Claims Executive (6-12 Months Contract) #NKC at RECRUIT EXPRESS PTE LTD
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