Senior Executive, Claims

• Jul 2023 - Present

Senior Associate, SG Corporate Solution Claims

• Jan 2022 - Jun 2023

•Process and adjudicate outpatient claims (clinical, specialist, dental, mental, optical and flexi benefits) for employee benefits mainly supporting Singapore clients. •Person-in-charge for processing dedicated VIP special account policy as well as standard policy to ensure the special arrangement, turn around time and enquiries are attended. •Processing 90 to 120 of outpatient E-claims per day. •Management of claims, timely processing & claim administration within stipulated turnaround time (TAT). •Adjudicate outpatient claims and decide on claim settlements and approve within authority limit. •Ensure all queries are responded to in a timely manner with continuous communication with both internal and external parties. •Assist in providing necessary information to Team Lead to allow for accurate and smooth claim experience. •Investigate and escalate complex claims issue as and when experienced to Team Lead/Medical Team for opinion. • Assist other ad-hoc task required by department. . Passed LOMA-FLMI Level 1 Show less

Executive, Healthcare Operations, Health BU

• Mar 2021 - Dec 2021

•Handling direct billing for insurer companies in Malaysia.•Register and process the medical claims within the stipulated turnaround time.•Adjudicate and verify claims by reviewing the necessary documents.•Assess and approve health claims within the authority limit•Responsible in issuance of GL within the stipulated turnaround time. •Diligently monitor and follow-up on any unsettled claims with insurers and/or outstanding information from clients.•Perform other responsibilities and duties as assigned by superiors in order to meet business requirements. Show less

Executive, Claims Management, Regional TPA

• Feb 2019 - Feb 2021

•Third party medical claim examiner for cashless inpatient facility for Singapore’s insurers.•Handling cashless inpatient facility for admission in SG hospitals and overseas.•Experienced in handling moratorium underwriting medical insurance claims.•Responsible in issuance of Letter of Guarantee within the stipulated turnaround time and works in team to achieve monthly service level agreement (SLA).•Identify possible fraud case or any pre-existing condition, and conduct related investigations - sending medical enquiries to treating doctor and conducting surrounding hospital/clinic check.•Attending internal/external email enquiries and provide service recovery if necessary.•Involved in any ad hoc task by Manager.•Passed Personal General Insurance Certification (PGI + BCP) by Singapore College of Insurance. Show less

Graduate Apprentice

• Aug 2018 - Feb 2019

Selected to join SL1M apprenticeship programmme under Khazanah Nasional. 1-month classroom training at Aisling Consulting and 6-months on-job-training attachment atAsia Assistance Network Sdn Bhd. Been assigned as Recruitment Officer which responsible:• To source candidates from job searching portal and conduct phone screening.• To share the shortlisted profiles to hiring manager for interview session.• To coordinate interviews for candidate and hiring manager.• To assist new hire processes such as offer letter generation/delivery and compilation ofemployment & Personal data for the purposes of payroll & benefits administration.• To provide end-to-end administrative support on the recruiting process for all hiring types(internship, permanent or contract).• To assist other ad-hoc task required by department. Show less

Administrative Assistant

• Oct 2017 - Dec 2017

•Execute clerical and administrative duties assigned by superiors. •Update and key-in participant data or survey in database. •Be part of the secretariat team in organizing Diabetes Asia Conference. •Assist executive staffs by sorting mails, filing, answering phones, and greeting clients. •Promote conference organized by calling the government hospitals and other NGOs to join. •Execute clerical and administrative duties assigned by superiors. •Update and key-in participant data or survey in database. •Be part of the secretariat team in organizing Diabetes Asia Conference. •Assist executive staffs by sorting mails, filing, answering phones, and greeting clients. •Promote conference organized by calling the government hospitals and other NGOs to join.

Internship Trainee

• Feb 2017 - Jun 2017

Assigned to Forensic Department and responsible to execute assigned task according to each section attached: • Document Section • Ballistic Section • Audio/Video Section • Fingerprint Section • Liaison Section • Narcotics Section • Etching Section • Crime Scene Investigation Section • DNA Section Assigned to Forensic Department and responsible to execute assigned task according to each section attached: • Document Section • Ballistic Section • Audio/Video Section • Fingerprint Section • Liaison Section • Narcotics Section • Etching Section • Crime Scene Investigation Section • DNA Section