Executive/ Senior Executive - Claims Adjudicator (24/7 Cashless Administration) - Contract

Job Summary

This role processes and reviews all medical/health claims within a specified authority limit to ensure payments are made within the turnaround time (TAT).

Your Responsibilities

• Assess and process all health/medical claims for reimbursement in line with policy guidelines within the authority limit.
• Oversee day‑to‑day 24/7 operations for guarantee facilities (hospital admission and discharge).
• Ensure claim settlement and payment within the agreed turnaround time and service standard.
• Support the Helpline team with enquiries pertaining to medical reimbursement.
• Respond to customers’ enquiries on claim reimbursement matters in a timely manner.
• Assume the responsibilities of other team members as and when required.
• Participate in project initiatives to improve efficiency and productivity of the department.

Requirements to Succeed

• Diploma/degree in any med...