Contract Executive, Service Support (Income Shield Op Claim)

The Life and Health Operations (LHO) department plays a pivotal role in ensuring we provide our customers with affordable and comprehensive life and health products, with efficient processes to allow optimal service to our customers.

This is a 2-years contract role.

As part of the team dedicated to manage IncomeShield claim assessment, your key responsibilities include:

• Processing and assessing all types of IncomeShield claims, with a specific focus on outpatient claims
• Assess policy liability, investigate claims and determine the claim amount payable based on Income's policy cover and management guidelines
• Compile, analyse and submit Claims reports as and when required
• To also prepare report on claims cases to be escalated to management and present cases at committee meetings
• Manage enquiries and complaints from claimants
• Liaison with intermediaries, hospitals and various external parties
• Undertake any other duties or projects as assigned by the Supervisor or Head of Section

Job Requirements

• At least obtained a Diploma or Degree in any field
• Certified in Health Insurance (HI)
• Have at least 2 years of individual claims experience. Experience in Shield claim processing and assessment will be an advantage
• Ability to professionally manage insurance claims enquiry and negotiations
• Good analytical skills, meticulous with a flair for numbers to handle complex computations
• Team player and self-motivated