Associate, Care Services

1. This role is on shift basis (working hours: 9am to 6pm / 10am to 7pm / 12pm to 9pm).

To adjudicate, review and process guarantee letter cases for medical policy holders.

• To issue initial and final guarantee letters in accordance with Company’s requirements and guidelines, accurately and timely.
• To support Call Centre Officers in handling technical/medical issues.
• To handle/resolve cases of fee dispute.
• To assist Care Manager in handling cases where medical necessity is questionable and decide on the course of action in consultation with medical officer.
• To attend to any other tasks assigned from time to time.

• Degree in Nursing or Healthcare related discipline of State Registered Nurse or Medical Assistant with 2-3 years of experience in post basic and management
• Not less than 2-3 years working experience in the hospital environment or managed care and medical insurance.
• Knowledge in medical terminology, contract provisions and MMA coding and Policy interpretation and application.
• Knowledge in current healthcare delivery systems, hospital patient management and billing system.
• Initiative, interpersonal and communication skills.
• Analytical and problem solving skills.

• Champion and embody our Core Values in everyday tasks and interactions.
• Demonstrate high level of integrity and accountability.
• Take initiative to drive improvements and embrace change.
• Take accountability of business and regulatory compliance risks, implementing measures to mitigate them effectively.
• Keep abreast with industry trends, regulatory compliance, and emerging threats and technologies to understand and highlight potential concerns/ risks to safeguard our company proactively.

Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei. The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of "AA-" by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia. Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world’s most highly-rated banks, with an Aa1 rating from Moody’s and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World’s Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker.