What You'll be DoingProvide 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 Companies to verify exceptions as well as to resolve any complaints.Conduct analysis, prepare periodic reports and/or presentations when required.
What We Are Looking forStrong technical understanding of the claims process for medical claims, particularly 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.