Claims Executive

Permanent Role, Singapore

PURPOSE 

Responsible for the accurate and timely settlement of claims within the service turnaround time and delivery of efficient, professional customer service in accordance with FWD’s service philosophy and standards.

 

KEY ACCOUNTABILITIES

  • Adjudicate and approve claims up to the authorised claims limit
  • Accurate and efficient claims settlement in accordance with policy provisions within the service turnaround time
  • Assist in answering enquiries from clients, intermediaries, clinics and hospitals regarding claims adjudication, payment, copayment, reasons for rejection, missing/additional information, etc
  • Correspond with intermediaries or claimants or interview them in person to correct errors or omissions on claim forms to investigate questionable entries
  • Assist in feedback management and service recovery
  • Ensure all complaints and appeals from members and corporate clients are dealt with promptly, efficiently and professionally
  • Prepare any statistical reports and information required by management
  • Monitor and review the quality and accuracy of work performed by junior team members, take corrective action and report problems as necessary
  • Take on any other duties and responsibilities given from time to time

 

QUALIFICATIONS / EXPERIENCE 

  • Bachelor degree and/or diploma
  • 3 years’ experience in the insurance industry, preferably in group insurance
  • Clinical experience an advantage

 

KNOWLEDGE & TECHNICAL SKILLS 

  • Good communication & interpersonal skills
  • Good with MS Excel

 

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