Deskripsi Pekerjaan
MSIG Singapore is a leading general insurer with a strong heritage in the Asian market. As a testament to our growing strength and influence, we have consistently garnered numerous awards for delivering digitally innovative and customer-centric insurance solutions. We are committed to the well-being of our customers and the professional growth of our employees.
We are currently seeking a dedicated and detail-oriented professional to join our Claims Services team as a Senior Executive/Executive, Claims Services - Property & Casualty (Healthcare). In this pivotal role, you will be responsible for managing and adjudicating complex healthcare claims within our Property & Casualty portfolio. You will ensure timely, fair, and accurate claim settlements while maintaining the highest standards of service excellence and operational efficiency.
This position offers a unique opportunity to deepen your expertise in the dynamic healthcare claims landscape. You will collaborate closely with medical professionals, brokers, and internal stakeholders to resolve claims effectively. If you are driven by a passion for service excellence and possess a keen analytical mind, we invite you to contribute to our mission of providing security and peace of mind to our clients.
Join MSIG and become part of a company that values integrity, innovation, and teamwork. Take the next step in your career with a global leader that invests in your success.
Tanggung Jawab
- Manage end-to-end adjudication of healthcare claims under the Property & Casualty portfolio, ensuring compliance with policy terms and regulatory guidelines.
- Evaluate medical reports, invoices, and supporting documents to determine claim validity and quantum accurately.
- Liaise with medical institutions, panel doctors, claimants, and intermediaries for information gathering and claim resolution.
- Process and settle claims promptly, maintaining high standards of accuracy and service turnaround times (TAT).
- Identify and investigate potentially fraudulent or irregular claims activities, initiating appropriate recovery actions.
- Provide professional advice and guidance to policyholders, brokers, and agents on claims procedures and policy coverage.
- Collaborate with internal stakeholders such as Underwriting, Legal, and Risk Management on complex cases and policy enhancements.
- Prepare detailed management reports and analysis on claims trends, performance metrics, and loss ratios.
Kualifikasi
- Degree or Diploma in any discipline. Qualification in Nursing, Life Sciences, Business Administration, or Risk Management is highly advantageous.
- Minimum 2 to 5 years of relevant experience in insurance claims handling, specifically in healthcare or medical claims within the general insurance industry.
- Strong knowledge of insurance principles, policy wordings, and the Singapore healthcare ecosystem (including MOH guidelines).
- Excellent analytical and problem-solving skills with strong attention to detail and numerical sensitivity.
- Proficient in Microsoft Office applications (Excel, Word, PowerPoint). Experience with claims management systems (e.g., Guidewire) is a plus.
- Effective communication and interpersonal skills to manage diverse stakeholders professionally.
- Customer-centric mindset with a commitment to delivering service excellence and empathy.
- Ability to work independently in a fast-paced environment and manage competing priorities effectively.