Claims Executive
Claims Executive
Posted on :
23-08-2025
Employer Active
1 Vacancy
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Job Description
Company:
MercerDescription:
We are seeking a talented individual to join our Service Management team at Mercer Marsh Benefits. This role will be based in Singapore. This is a hybrid role that has a requirement of working at least three days a week in the office.
The Service Management executive will play a crucial role in providing onsite helpdesk support managing service levels and handling escalated claims to ensure client satisfaction and operational efficiency.
We will count on you to:
Onsite Helpdesk
- Provide general advice on insurance plan design policy coverage benefit limits main exclusion and self-funded program (if any)
- Provide information on general matters pertaining to the account for example claim collection date claim drop-off location and expected turnaround time
- Provide guidance on claim submission process and required documents.
- Provide assistance in checking of claim status
- Explain claim computation / breakdown as per claim settlement provided by insurers
- Provide assistance on appeals for rejected / partially paid claims
- Advise panel clinic location operating hours and contact number (if applicable)
- Advice on Underwriting Requirements and status of cover requiring underwriting approval by insurer (if applicable)
Service Level Management
- Understand clients needs / requirements and support strategies to enable the team to deliver the expected services
- Create and maintain proper documentation around process guidelines relating to the clients requirements
- Support and assist the client relationship managers in maintaining a positive relationship with stable operations delivery
- Manage client satisfaction by ensuring employees complaints and requests are attended to within the required TAT and SLA
- Provide professional and accurate advice to the clients and service standards to achieve high level of customer satisfaction
- Present Operations Performance Review periodically to client (if applicable)
- Provide accurate and timely reports to clients (if applicable)
Escalation Management
- Work with employee HR and insurer(s) on escalated claims or complaints
- Identify issues and suggest improvements to existing processes for escalated issues pertaining to Operations
What you need to have:
- Strong knowledge of insurance plan design and policy coverage.
- Excellent communication and interpersonal skills to provide professional advice and support.
- Experience in claims management or a related field.
- Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
What makes you stand out:
- Familiarity with underwriting requirements and processes.
- Experience in client relationship management and service level management.
- Proficiency in generating reports and presenting operational performance reviews.
Why join our team:
- We help you be your best through professional development opportunities interesting work and supportive leaders.
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact for colleagues clients and communities.
- Our scale enables us to provide a range of career opportunities as well as benefits and rewards to enhance your well-being.
Employment Type
Full-Time
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