HealthShield Technical Assessor

5 StonesHRM Pte Ltd| Date Posted: 22-Jul-2019
EA Licence No: 14C7057|EA Personal Registration No: R1103815
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Job Nature:
Position Level:
'A' Levels, Diploma, Bachelor's / Honours

Job Description


  - Assess policy liability, investigate claims, compute and determine the claim amount payable based on policy cover and management guidelines, review LOG requests.

- Write report on claims cases to be escalated to management. Present case at committee meetings.

- Handle and manage claim enquiries/complaints from claimants, intermediaries etc.

- Compile, analyse and submit Claims reports as and when required.

- Liaise with intermediaries, hospitals and various other parties.

- Ensure that the various KPIs are met

- Undertake any other duties or projects as assigned by the supervisor or Head of Section



  - Degree or Diploma holder with at least 4-6 years of Individual claims experience, Experience in shield claim will be an advantage

- CHI qualification preferable.

- Good analytical skills, meticulous with a flair for numbers and an eye for details, good written English, able to professionally manage disputes.

- Team player and self-motivated.

Company Overview
5 StonesHRM Pte Ltd