Associate - A&H Claims

About the role

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

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at THE GREAT EASTERN LIFE ASSURANCE COMPANY LIMITED? Share your experience