Associate - A&H Claims

Are you passionate about making a meaningful impact in the healthcare insurance space? Join us as an A&H Claims Associate, where you’ll play a vital role in ensuring our policyholders receive timely and accurate support when they need it most.

As part of our dynamic Claims team, you’ll not only assess A&H claims under our health plans—you’ll also be empowered to contribute to service excellence initiatives and exciting projects that enhance the overall claims experience. This is more than just a job; it’s a career path that builds deep expertise in claims assessment and customer care.

1.       Assess A&H Claims

Provide accurate and timely assessment of A&H claims, ensuring all data entry, benefit mapping, and claim tagging are completed in line with required service standards. Handle A&H claims assessment and maintain high accuracy.

2.     Engage with Stakeholders

Liaise professionally with medical institutions and policyholders to clarify outstanding requirements and ensure smooth claims processing.

3.     Customer & Business Partner Relations

Provide excellent service and strengthen relationships with customers and distribution channels through responsive and empathetic support.

4.     Handle escalated claims enquiries

Attend to claims-related queries with clarity, care, and professionalism.

5.     Ad-hoc Projects

Undertake any other ad-hoc projects as assigned by your supervisor.

6.     Ensure Compliance

·      Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations.

·      Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks;

·      Maintain awareness of industry trends on regulatory compliance, emerging threats and appropriate steps to mitigate the risks; and

·      Highlight any potential concerns/risks and proactively shares best risk management practices.

We are looking for people who

·      Have 1–3 years of experience in insurance claims handing, customer servicing, nursing or related fields (fresh graduates with strong interest in claims are welcome to apply).

·      Hold a Diploma or Degree in Business or Healthcare Administration, Nursing or any relevant discipline

·      Possess strong analytical skills and attention to detail, with the ability to interpret medical reports and policy terms

·      Are customer-focused, with excellent communication skills and a proactive approach to problem-solving

·      Are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence

·      Demonstrate high level of integrity, takes accountability of work and good attitude over teamwork

·      Takes initiative to improve current state of things and adaptable to embrace new changes