Jobs Responsibilities

• Assess and adjudicate local and overseas medical and non medical claims within policy terms, authority limits and stipulated turnaround time.

• Review and approve Pre Authorisation and LOG requests in accordance with policy conditions and MOH benchmarks.

• Liaise with policyholders, healthcare providers, intermediaries and internal stakeholders to obtain information and resolve claim queries or disputes.

• Manage claims payment processes including unsuccessful bank transfers, CPF failures, refunds, voids and reprocessing activities.

• Update Statements of Account, prepare settlement letters and maintain proper documentation in shared systems.

• Follow up on outstanding receivables and overpayments, including coordination with claimants, hospitals, insurers and CPF Board.

• Support reporting requirements including daily claims reports, statistical analysis, trend monitoring and meeting minutes.

• Participate in system enhancement projects, UAT testing and process improvements; identify potential fraud or inconsistencies and escalate where necessary.

Application Procedures

Interested candidates, please email your resume to:

Attention: Lynn Mak Ling Ling (CEI No. R1986990)

[email protected]

Recruit Express Pte Ltd (EA No. 99C4599)

We regret that only shortlisted candidates will be notified.