Job Descriptions

• Prepare accurate and timely financial statements (income statement, balance sheet, cash flow statement) and provide insightful analysis to management.
• Monitor daily financial activities, including accounts payable & receivable, general ledger & reconciliation.
• Checking, verify & approve supporting documents/invoices for bank payments.
• Assist in the preparations of the annual budget and periodic forecast exercise.
• Perform Monthly Variance Analysis, explaining fluctuation against prior period / budget.
• Responsible in tax estimation for all the related companies in order to comply with the statutory body's requirement.
• Develop and implement strong internal controls to safeguard company assets and ensure financial data integrity.
• Establish, maintain and implement financial policies and procedures.
• Liaising with auditors, tax agents, banks and other statutory bodies / authorities on external audit matters, and all statutory and tax requirements compliance.
• Undertake other projects and ad hoc tasks as assigned.

Requirements

• Bachelor's degree in Accounting, Finance, ACCA, CIMA or equivalent.
• Candidates with minimum 5 years of accounting/finance experience, preferably 2-3 years of with prior audit experience will be an added advantage.
• High command of MS Applications especially Excel.
• Good analytical and problem-solving skills.
• A person with high initiative, drive and commitment and can work independently.

Perks & Benefits

• Allowance (travel stipends, transportation, etc.)
• Nearby public transport
• Casual dress code
• Medical insurance
• Personal leave
• Open culture
• Personal development opportunities

工作介紹

• 編制準確、及時的財務報表（損益表、資產負債表、現金流量表）並向管理層提供富有洞察力的分析。
• 監控日常財務活動，包括應付帳款和應收帳款、總帳和對帳。
• 檢查、驗證和批准銀行付款的支援文件/發票。
• 協助準備年度預算和定期預測工作。
• 執行每月差異分析，解釋相對於前期/預算的波動。
• 負責所有相關公司的稅務估算，以遵守法定機構的要求。
• 制定並實施強有力的內部控制，以保護公司資產並確保財務資料的完整性。
• 建立、維護和實施財務政策和程序。
• 就外部審計事宜以及所有法定和稅務要求合規事宜與審計師、稅務代理人、銀行和其他法定機構/當局聯絡。
• 承擔其他指派的項目和臨時任務。

要求

• 會計、金融、ACCA、CIMA 學士學位或同等學歷。
• 具有至少 5 年會計/財務經驗（最好具有 2-3 年審計經驗）的候選人將更具優勢。
• 熟練 MS 應用程序，尤其是 Excel。
• 良好的分析和解決問題的能力。
• 具有高度主動性、幹勁和奉獻精神，能夠獨立工作的人。

津貼和福利

• 津貼（旅費、交通費等）
• 附近的公共交通
• 休閒著裝要求
• 醫療保險
• 事假
• 開放文化
• 個人發展機會

About us:
At iSelect, were passionate about helping Australians reduce their household bills and save money, time and effort. We are Australias go-to destination for comparison across insurance, utilities and personal finance products made available from our range of providers. We compare from a wide range of Australias leading brands and our highly trained consultants help customers compare, select and save.
We operate in a growth-orientated, agile and progressive environment that fosters innovation and rewards success. Our staff have high levels of empowerment and accountability which are underpinned by a pragmatic, down-to-earth approach.
What you do:
You'll join a growing group of Team Leaders reporting to the Sales Manager for our Health Insurance Vertical. Youll team leadership into our Health Insurance vertical with a key focus on coaching and developing the people that report to your role and driving sales performance.
Here are some ... Click here to view more detail / apply for Team Leader ? Health Insurance

About The Opportunity

We are currently seeking dynamic professionals to join our managed Healthcare team to drive the development and expansion of our Healthcare service provider network.

What You'll Be Doing

• Contribute to the development and management of our providers network through proactive sourcing, recruitment and engagement of the panel of clinics including but not limited to Medical, Dental, Diagnostics, Physiotherapy clinics.
• Conduct training to panel providers as required.
• Identifying and remediating operational short-falls and claims.
• Negotiate contracting and re-contracting process with healthcare service providers within corporate guidelines and ensure that all services provided are delivered according to SLAs.
• Maintain monthly statistical reports to facilitate benchmarking and performance management of network operations for management decision making.
• Manage and maintain system data relating to new codes, accounts, pricing, etc.
• Gather and analyze claims paid data, utilization data and benefit design information to assist in the development of strategies for contracting and re-contracting.
• Provide feedback to providers regarding their performance under the terms of their contract, identify and address quality of care and service issues.

What We Are Looking for

• Prior experience in Provider Relations/Provider Contracting role within a TPA/medical insurance environment is preferred but not essential.
• Possess industry knowledge related to managed Healthcare services will be an added advantage.
• Highly developed interpersonal, communication and stakeholder management skills.
• Excellent organisational skills and exceptional eye for details.
• Passionate about driving change to improve business outcomes.
• Advanced level of proficiency in claims processing and issue resolution.

We regret to inform that only shortlisted applicants will be notified for a virtual interview.

To learn more about our Organization, please visit https://alliancehealthcare.com.sg.

This position will start off as 7 months contract.

Location:
Great Eastern Office, at Raffles Place

Responsibilities:

You will be handling insurance claims assessment under the accident and health plans. You will also be given the opportunity to be part of an exciting team with involvement in service excellence initiatives and projects to improve the claims experience.

• Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of accident and health claims within the required service standards and ensure that claims are paid accurately and promptly

• Seek clarifications and liaise with medical institutions and policyholders on outstanding requirements

• Deliver excellent service and enhance customer and distribution channels relationship management

• Attend to claims enquiries

• Suggest and participate in process improvement projects/ initiatives/ system enhancement, including establish claims best practices

• Ensure compliance with internal and external regulatory and legal matter

• Conduct review of pending claim to ensure reserve adequacy and closure of claims in a timely manner

Working Hour:

Mon to Fri, 9am to 6pm

Salary:

Up to $3000

Thank you!

Glendon Toh
Cornerstone Global Partners
EA: 19C9859
Reg no: R1982182

7/12-month Completion Bonus

Mon - Fri, 9am to 6pm

Work Location: Raffles Place

• Handle insurance claims assessment under the accident and health plans.
• Be part of an exciting team with involvement in service excellence initiatives and projects to improve the claims experience.
• Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of accident and health claims within the required service standards and ensure that claims are paid accurately and promptly
• Seek clarifications and liaise with medical institutions and policyholders on outstanding requirements
• Deliver excellent service and enhance customer and distribution channels relationship management
• Attend to claims enquiries
• Suggest and participate in process improvement projects/ initiatives/ system enhancement, including establish claims best practices
• Ensure compliance with internal and external regulatory and legal matter.
• Conduct review of pending claim to ensure reserve adequacy and closure of claims in a timely manner

Requirements:

• Diploma/Degree or Professional Insurance Certificate with at least 1 year of relevant accident and health claims experience.
• Prior experience in life claims will be an added advantage
• Strong analytical, written and communication skills
• Customer-centric and meticulous with the ability to work under pressure

Should you be interested in this position, please contact Terence at +65 9645 4048 your resume directly for fast respond.

Interested candidate please click "APPLY" to begin your job search journey and submit your CV directly through the official PERSOLKELLY job application platform - GO Mobile.

We regret to inform that only shortlisted candidates will be notified.

By sending us your personal data and curriculum vitae (CV), you are deemed to consent to PERSOLKELLY Singapore Pte Ltd and its affiliates to collect, use and disclose your personal data for the purposes set out in the Privacy Policy available at https://www.persolkelly.com.sg/policies. You acknowledge that you have read, understood, and agree with the Privacy Policy.

PERSOLKELLY Singapore Pte Ltd • RCB No. 200007268E • EA License No. 01C4394• Reg. R23116141 Le Cong Thang

Munich Re is the world’s largest reinsurer and a leading provider of reinsurance solutions in Asia. The Regional Centre in Singapore has grown and expanded substantially over the past years with more than 300 employees now. Southeast Asia is one of the most exciting regions in the world and offers great opportunities for Munich Re.

As part of our expansion for the Southeast Asia team, we are looking for an experienced Senior Operations Officer with a focus in health insurance products to work in the Health Team.

Your job:

• Reporting to the Head of the Heath team, you will support In-Force Health clients by offering value services on their claims management processes, to improve their profitability and help grow the Reinsurance health book for SEA region. In particular by providing:

1. On-site, detailed, TPA audits, or audits of clients’ own claims management processes, and investigations into providers’ processes;
2. Investigations into fraud, waste and abuse in all three of the partners i.e. policyholders, providers and payers;
3. Support on managing real-time inpatient claims, including advice on pre-authorization protocols.
4. Benchmarking on providers’ and TPAs’ fees, against marketplace averages.
5. Consultations and advice on better ways to manage claims including advice on claims guidelines, network selection and management, primary care protocols.

• You will advise on, and support, the implementation of new solutions for clients in better claims management processes. This would include defining the execution model of such solutions including resources, expertise, products, digital / technology tools, and execution strategy.
• You will also support tenders by including discussions on bespoke value-add services for prospect clients, to support the growing MR SEA Health RI book.

Your profile:

• Bachelor’s degree, preferably in economics, mathematics, medicine or business administration, or similar qualification.
• Minimum 15 years of relevant experience in client management and business development including managing health insurance, health claims or reinsurance business, preferably in SEA region.
• Excellent expertise and track-record in working across the full value-chain of health insurance – in particular health insurance operations including medical and claims cost containment, and growth strategies, product development and delivery, risk selection & risk management practices.
• Ideally experience working within a TPA or equivalent, providing strong familiarity with their typical processes;
• Knowledge of healthcare industry, health insurance data assets and its management, health insurance risk, technology, and emerging trends in health insurance industry.
• Competent in data analysis and handling large volumes of data, ideally in SQL or equivalent. Good grasp of Excel and numerical ability.

Our Benefits:

• Flexible and hybrid working arrangement
• Generous annual leave allowance
• Competitive dental, life and health insurance coverage

At Munich Re, we embrace, and value, the interaction of diverse backgrounds, experience, perspectives and thought. This interaction is the foundation of our open culture, spirit of partnership, of how our teams are built and cultivated, and of how we are supported and developed. And at the centre of this interaction is each of us.

Job Description

At Anda, our purpose is to love what we do, and constantly challenge the status quo. We strongly believe in a good company culture, having “happy” employees, who provide the best customer service.

Anda is looking for an ambitious, engaging relationship builder to join our team. You will be the front of the company and will have the dedication to create and apply an effective sales strategy and forging strong relationships with clients. Reporting to the Assistant Manager, Foreign Worker Department, the successful candidate will be part of a team of specialists in Foreign Worker insurance, namely Bond, and Medical.

A day in the life:

• Manage client’s enquiries and provide insurance advice on quotations, renewals and other request
• Liaising with clients and insurers on policies renewal & new business placement
• Attend to walk-in customers
• Preparation of documents relating to transacted business
• Cleaning up existing renewal member listing provided client and/or clientele database
• Doing Premium & Benefits Comparison to keep abreast of market trends
• Be involved in ad-hoc projects to improve the business processes through the ulitization of technology
• Carry our any other duties as assigned and required
• Assist with claims

What you need:

• At least a Diploma
• BCP, PGI, ComGI certifications are required. HI certification a plus
• Minimum 2 years of insurance experience
• Strong service orientation, positive thinking and proactive attitude
• Ability to multi-task in a team environment while able to work independently
• Must be a team player and be able to work together in a team

About Us

SPH Media is evolving, and we welcome talented individuals to join us in our transformation journey. Our mission is to be the trusted source of news and lifestyle content in Singapore and Asia. As an employer, we are committed to rewarding our people fairly and developing them in their careers. Grow your career in a vibrant and collaborative environment built around a culture of respect and inclusivity. Join us! To work with passionate people who impact lives through the stories they tell.

About the Role

Singapore's premier business daily, The Business Times, is looking for an experienced, driven and digital-minded candidate to be a part of our Banking & Finance team. Based in Singapore, you will report on the goings-on of major financial institutions in key markets of Southeast Asia, with a strong focus on Singapore.

The banking sector affects a wide spectrum of the economy, from businesses requiring capital and payment options, to individuals making personal financial decisions. As one of the primary banking & finance reporters in BT, you will need to be familiar with different aspects of banking, as well as major government policies that will have an impact on the sector. You will track the money flows, trends and factors that are changing the sector, highlighting their significance and relevance to vital segments of the economy. The application of genAI and sustainability financing will be an important theme to keep an eye on in your coverage.

You will need to write with clarity and authority, and broaden the paper's banking coverage. You should be well-sourced and enterprising to explain how developments or data in the sector can influence or tell a story about the big picture.

The applicant should be quick at spotting trends and have a nose for scoops. You should be driven by curiosity, and embrace a growth mindset.

Job Requirements

• Relevant degree in Economics, Business, Finance, or any relevant fields
• Sharp news sense and at least six years’ experience in writing about the financial services sector in Singapore.
• Familiarity with government institutions and industry associations, policy processes, and MAS data
• Fluent in written and spoken English. Familiarity with an Asian language is a plus
• Comfortable with working both independently and collaboratively
• Committed to learning, and adapting to new ways to tell a story better
• Willingness to be flexible and adapt to the newsroom’s needs.
• Ability to multitask under pressure.

Job Description:

Renews commercial business for SelectHealth, manages account activities, and coordinates the re-enrollment of existing groups in addition to the enrollment of new groups, with minimal support. Works closely with the managers and technical support personnel of other departments to facilitate quick and efficient problem resolution.

Scope

The Account Manager is generally responsible for:- $5,000,000 - $10,000,000 of Select Health revenue - 25 - 35 client groups to service and renew 10,000 - 20,000 plan members - Broker/consultant relations with assigned client groups.

The ideal candidate will have health insurance benefits experience and a strong understanding of Administrative Services Only (ASO)/insurance self funding.

Posting Specifics

• Benefits Eligible: Yes
• Shift Details: Monday - Friday 8am to 5pm
• Unit/Location: Remote
• Additional Details: Some travel required

Benefits

Intermountain Healthcare offers a generous benefits package that contributes to the overall health and compensation of each caregiver.   

• Various insurance options through Select Health, Intermountain’s insurance company 
• Onsite fitness centers and discounts to local gyms 
• LiVe Well caregiver incentive program – up to $300 per year 
• Employee Assistance Program (EAP) – including free counseling for caregivers and their immediate family 
• Over 302,000 discount offers across 10,000 cities on everything from movie tickets, pizza and the zoo to car rentals and hotels 
• Paid Time Off including but not limited to Parental Leave, Long and Short-Term Disability 
• 401(k) with up to 6% employer contribution 
• Up to $1,500 referral bonus  
• Tuition Reimbursement  
• Tuition Assistance through Peak - up to $5,200 per year paid to your school as you go 
  
  To learn about additional Intermountain benefits Click here  

Job Essentials

• Manages the renewal process for assigned products (health, dental, etc) throughout the year for assigned employer groups. This includes responsibility for the timely issue and return of signed contracts or letters of understanding for all clients.
• Researches employer underwriting information and submits group data summary so the Underwriting Department can prepare accurate rate proposals based on employer risk. Reviews the information, risks, plan design, competition, and rates with Underwriting department to accurately convey information to the decision-makers within the client organization.
• Responds to requests for proposals (RFP's) for all clients and brokers. Maintains an excellent understanding of all dimensions of Select Health in order to submit accurate and appealing information.
• Presents proposals and negotiates agreements with existing and prospective clients. Exercises exceptional sales and negotiating skills, both with brokers and clients.
• Works with brokers to meet customer needs for information and resolution. Serves as a sales and technical information resource to brokers. Understands all funding arrangements, including fully insured, contingently funded, and self-funded, and effectively communicates information to clients and brokers.
• Organizes and coordinates the enrollment of client groups including effectively and knowledgeably presenting plan benefits to employer groups, and being well versed in benefit designs and claims adjudication to respond to group and individual questions and concerns.
• Reviews and collects completed enrollment applications for new and renewing business. Coordinates the delivery of ID cards, Membership Guides, first month billings, and contracts.
• Directs the internal enrollment process to ensure the accurate and timely enrollment and administration of groups by coordinating the underwriting, enrollment, finance, and marketing functions. Maintains a working knowledge of the group information system in order to conduct final quality and accuracy review of information that has been entered.
• Instructs and assists client administrators in enrollment (including SHOBE, EDI, or other electronic enrollment systems), billing reconciliation, underwriting risk, contract compliance, and other identified areas.
• Identifies problems and solutions to management related to benefit designs, provider relations, financial / billing, enrollment, compliance, and other employer concerns.
• Participates in the promotion and execution of events at employer sites, such as Health and Wellness fairs.
• In conjunction with Marketing, drafts and reviews procedural and marketing materials for distribution to current and potential members. Provides high quality writing and editing of communications to Select Health clients. Assists in the design of marketing literature for unique medical and dental plans.
• Prepares and conducts formal presentations to explain comprehensive medical and dental benefits to employer groups.
• Meets with clients to address their specific educational needs. Leads the development of education materials, coordinates and/or delivers training to benefit managers and others in administration and use of medical and dental plans.
• Travels extensively and spends significant time at employer and broker locations to educate and provide superior service to client groups, strengthen relationships, and heighten the visibility of Select Health.
• Creates customer satisfaction and loyalty through the judicious and skilled application of Sales Competencies in all interactions with external and internal customers and collaborators.
• Builds credibility through knowledge of business and financial concepts
• Focuses on the customer and takes action to exceed their expectations
• Cultivates business relationships internally, externally, and virtually
• Negotiates to create mutually acceptable outcomes
• Listens actively
• Orally conveys information clearly and competently
• Demonstrates composure under stress
• Clearly defines problems and effectively resolves them
• Takes accountability for decisions and results of work, and contributes beyond one's role
• Demonstrates initiative by identifying what needs to be done and taking appropriate action

#SelectHealth

Minimum Qualifications

• Bachelor's Degree or four years of equivalent experience in customer service, sales, marketing, or communications. Degree must be obtained through an accredited institution. Education is verified.
• Three years of sales or health care industry experience.

Preferred Qualifications

• Either have appropriate State Health Insurance license or must obtain license within the first six months of employment. Individuals without the license will be paid below the entry rate of the position until the license is obtained.
• Effective communication skills (both verbal and written).
• Strong working knowledge of health insurance.
• Ability to sell and manage the sales process.
• Ability to handle duties and responsibilities with minimal supervision; display professionalism in judgment and decision-making.

Note: Most work is done independently and may be done at the employer's place of business.

Physical Requirements:

SH only

Manual dexterity, hearing, seeing, speaking.

Anticipated job posting close date:

03/27/2024

Location:

Benefits Administrators

Work City:

Lone Tree

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$29.22 - $46.03

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Become a part of our caring community and help us put health first
 

The RVP, Health Services (Medical Director/Chief Medical Officer) is dedicated full-time to the Contractor’s Indiana Medicare & Medicaid Integrated program, Indiana PathWays for Aging. He/she will provide medical leadership, oversight and strategy for Indiana clinical programs while interacting with plan members and providers in order to improve member patient experience, to drive population health, and to ensure efficient delivery of care. The RVP, Health Services will be based in Indianapolis, IN and will work closely with plan leadership to integrate the day-to-day administration and strategic management of physical and behavioral health services, including utilization management (UM), quality improvement, and value-based payment programs. He/she will also oversee the development of new clinical products and services.

               

Position Responsibilities:

• Oversee the development of clinical practice guidelines and review any potential quality of care problems.
• Oversee the clinical management program and programs that address special needs populations and health screenings.
• Oversee Quality Improvement and HEDIS/STARS metrics improvement with PCP offices and IPAs.
• Manage internal operational/functional relationships related to profitability.
• Assist with network development and provider contracting with various providers and ancillary providers.
• Serve as clinical liaison with inpatient facilities and joint operating committees to maintain facility relationship and problem solve; especially reviewing contracts as to clinical services.
• Serve as the medical professional interface with primary medical providers (PMPs) and specialty providers.
• Direct the Quality Management and Utilization Management programs, including, but not limited to, monitoring, corrective actions, and other quality management, utilization management or program integrity activities.
• Responsible for ensuring that the medical management and quality management components of the operations are compliant with the terms of the Contract, in close coordination with other key staff.
• Work closely with the Pharmacy Director to ensure compliance with pharmacy-related responsibilities.
• Serve as the chairman of the Utilization Management committee.
• Serve as co-chairman of and participate in meetings of the PathWays Quality Management and Improvement Committee
• Attend all FSSA quality meetings, including the Quality Strategy Committee meetings and Subcommittee meetings.
• Responsible for taking appropriate action on all agenda and action items from all OMPP quality meetings.

Use your skills to make an impact
 

Required Qualifications

• Current and unrestricted Indiana-licensed Health Care Provider (IHCP) board certified in geriatrics, family medicine, or internal medicine (MD or DO degree)
• 8 or more years of management experience
• 5+ years of established clinical experience.
• 2+ years of quality management experience
• Excellent communication skills
• Proven experience building strong effective teams
• Knowledge of the managed care industry including Medicare and Medicaid.
• Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab.
• Strategic thinking with proven ability to communicate a vision and drive results.
• Solid negotiation and conflict management skills
• Creative problem-solving skills
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Must reside in the state of Indiana and commute to Indianapolis, IN office regularly. 

Preferred Qualifications

• Indiana Licensed Geriatrician or Physician with ten (10) years of Clinical Practice with older adults (60 years of age and older)
• Medicaid Managed Care clinical or BH leadership experience
• Experience in palliative care, behavioral health, or adult medicine.

Scheduled Weekly Hours

40

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

JOB TITLE: Senior Health Claims Assessor

LOCATION: Edinburgh / Full Remote working considered

HOURS: Full-time

WORKING PATTERN: Our work style is hybrid, which involves spending at least two days per week, or 40% of our time, at one of our office sites.

About this opportunity

We're currently looking to recruit experienced Claims Assessors for our Claims Team which forms part of the Lloyds Banking Group Insurance, Pension and Investment Chief Operating Office.
We play a vital role in supporting delivery of the group purpose of Helping Britain Prosper by efficiently and effectively supporting customers through the claims process which is a key moment of truth in their lives.

A culture of trusting our colleagues to do the right thing and driving continuous improvement encourages our colleagues to bring their best self to work each day. Interactions with our customers must be of the highest quality ensuring clarity of information, empathy and compassion throughout the claim journey.

Why Lloyds Banking Group

With over five million customers, and having celebrated our 200th anniversary in 2015, Scottish Widows is one of the UK's most trusted Life, Pensions, and Investments providers.

We want to ensure this success continues and grows. In Insurance Customer Delivery, we contribute to this success by providing critical services to our customers and supporting them with their insurance needs, whilst ensuring the customer is at the heart of our business.

The Group is striving to be the best bank for customers and to help Britain prosper. We're all responsible for the long-term success of the company - through our individual roles, activities, and achievements. Here in Insurance Customer Delivery, we provide critical services to our customers, supporting them with their insurance needs, along with a focus on ensuring the customer is at the heart of our business.

What you'll need

You'll be passionate about putting people first to ensure we listen and care for people as individuals. You'll have a keen eye for detail and be able to competently assess critical information to arrive at the right outcome. You'll be responsible for operating within clearly defined quality measures and personal authority limits. As well as being able to demonstrate and display excellent communication skills along with the ability to manage the customer's expectations throughout the claims process.

This role includes telephony based customer contact and requires candidates who are proactive, can work to tight deadlines and possess excellent decision making skills.

You will have a passion for driving your career growth and commitment to working towards the expected standard, this means proactively seeking learning opportunities from our technical team and Senior Assessors.

Skills / Knowledge

• A minimum of 3 years' experience within a Health Claims environment covering a range of products
• Versatile and competent on a mixture of claim types (including critical illness, terminal illness and preferably income protection benefit) with full sign off or driven to work towards these at pace.
• Ability to manage own case portfolio and adherence to personal Claims Authority Limits whilst adhering to business timescales and needs.
• Ability to mentor less senior colleagues and leading their development and training.
• Meeting targets including accuracy, quality and volume to an agreed service level.
  
  About working for us
  
  Our focus is to ensure we're inclusive every day, building an organisation that reflects modern society and celebrates diversity in all its forms.
  
  We want our people to feel that they belong and can be their best, regardless of background, identity or culture.
  
  We were one of the first major organisations to set goals on diversity in senior roles, create a menopause health package, and a dedicated Working with Cancer initiative.
  
  And it's why we especially welcome applications from under-represented groups.
  
  We're disability confident. So if you'd like reasonable adjustments to be made to our recruitment processes, just let us know.
  
  We also offer a wide-ranging benefits package, which includes:
  
  
• A generous pension contribution of up to 15%
• An annual bonus award, subject to Group performance
• Share schemes including free shares
• Benefits you can adapt to your lifestyle, such as discounted shopping
• 28 days' holiday, with bank holidays on top
• A range of wellbeing initiatives and generous parental leave policies
• Support with working from home
  
  Ready for a career where you can have a positive impact as you learn, grow and thrive?
  
  Apply today and find out more

Proud member of the Disability Confident employer scheme

JOB TITLE: Senior Health Claims Assessor

LOCATION: Edinburgh / Full Remote working considered

SALARY: £42,120 - £46,800

HOURS: Full-time

WORKING PATTERN: Our work style is hybrid, which involves spending at least two days per week, or 40% of our time, at one of our office sites.

About this opportunity

We're currently looking to recruit experienced Claims Assessors for our Claims Team which forms part of the Lloyds Banking Group Insurance, Pension and Investment Chief Operating Office.
We play a vital role in supporting delivery of the group purpose of Helping Britain Prosper by efficiently and effectively supporting customers through the claims process which is a key moment of truth in their lives.

A culture of trusting our colleagues to do the right thing and driving continuous improvement encourages our colleagues to bring their best self to work each day. Interactions with our customers must be of the highest quality ensuring clarity of information, empathy and compassion throughout the claim journey.

Why Lloyds Banking Group

With over five million customers, and having celebrated our 200th anniversary in 2015, Scottish Widows is one of the UK's most trusted Life, Pensions, and Investments providers.

We want to ensure this success continues and grows. In Insurance Customer Delivery, we contribute to this success by providing critical services to our customers and supporting them with their insurance needs, whilst ensuring the customer is at the heart of our business.

The Group is striving to be the best bank for customers and to help Britain prosper. We're all responsible for the long-term success of the company - through our individual roles, activities, and achievements. Here in Insurance Customer Delivery, we provide critical services to our customers, supporting them with their insurance needs, along with a focus on ensuring the customer is at the heart of our business.

What you'll need

You'll be passionate about putting people first to ensure we listen and care for people as individuals. You'll have a keen eye for detail and be able to competently assess critical information to arrive at the right outcome. You'll be responsible for operating within clearly defined quality measures and personal authority limits. As well as being able to demonstrate and display excellent communication skills along with the ability to manage the customer's expectations throughout the claims process.

This role includes telephony based customer contact and requires candidates who are proactive, can work to tight deadlines and possess excellent decision making skills.

You will have a passion for driving your career growth and commitment to working towards the expected standard, this means proactively seeking learning opportunities from our technical team and Senior Assessors.

Skills / Knowledge

• A minimum of 3 years' experience within a Health Claims environment covering a range of products
• Versatile and competent on a mixture of claim types (including critical illness, terminal illness and preferably income protection benefit) with full sign off or driven to work towards these at pace.
• Ability to manage own case portfolio and adherence to personal Claims Authority Limits whilst adhering to business timescales and needs.
• Ability to mentor less senior colleagues and leading their development and training.
• Meeting targets including accuracy, quality and volume to an agreed service level.

About working for us

Our focus is to ensure we're inclusive every day, building an organisation that reflects modern society and celebrates diversity in all its forms.

We want our people to feel that they belong and can be their best, regardless of background, identity or culture.

We were one of the first major organisations to set goals on diversity in senior roles, create a menopause health package, and a dedicated Working with Cancer initiative.

And it's why we especially welcome applications from under-represented groups.

We're disability confident. So if you'd like reasonable adjustments to be made to our recruitment processes, just let us know.

We also offer a wide-ranging benefits package, which includes:

• A generous pension contribution of up to 15%
• An annual bonus award, subject to Group performance
• Share schemes including free shares
• Benefits you can adapt to your lifestyle, such as discounted shopping
• 28 days' holiday, with bank holidays on top
• A range of wellbeing initiatives and generous parental leave policies
• Support with working from home

Ready for a career where you can have a positive impact as you learn, grow and thrive?

Apply today and find out more

Proud member of the Disability Confident employer scheme

We have an exciting and varied opportunity for a Health Services Finance Team Leader to join the Finance Operations Team here at AXA on a 12 month Fixed Term contract. The UK insurance market is one of the most competitive and advanced markets in the world and profitable growth of personal lines business forms a key part of AXA UK strategic plans. The purpose of this role is to manage the various Health Services financial operation functions, whilst leading and mentoring a team of Financial Operations Administrators.


At AXA we work smart, empowering our people to balance their time between home and the office in a way that works best for them, their team and our customers. You'll work a minimum of two days per week in our Tunbridge Wells office.


What you'll be doing:


Oversee all payments to affiliates, ensuring these are paid accurately and within agreed timescales.
Manage AXA’s cost processing queue, ensuring cases in our Customer Relationship Management system are accurate and processed within specified deadlines.
Supervise the invoicing process to our clients, including overseeing the allocating of payments received and reconciling clients’ accounts.
Manage our credit control function, ensuring that outstanding debt is chased in line with our credit control policy.
Report on outstanding debt, providing regular and meaningful MI to management.
Support and develop the team of Financial Operations Administrators, through ensuring objectives are set, and training needs and development opportunities are met.
Manage and monitor the team workload, ensure BAU tasks are met and distributed fairly.


Due to the number of applications we expect to receive for this role, we reserve the right to close this advert earlier than the listed closing date to ensure we’re able to effectively manage interest. Therefore, if you’re interested in joining us at AXA, please don’t hesitate to apply.

Role Summary:

The Head of the U.S. Personal Banking (USPB) Unsecured High Risk Segment Group is a new position that is part of Citigroup’s consumer bank risk executive team and reports directly to the In-Business USPB Credit and Franchise Risk Head. Key responsibilities cover managing the high-risk customer segment in the Cards and Unsecured portfolios, covering onset of risk through balance control, collections, loss mitigation and recovery.  

Responsibilities:

• Segment Definition: define and identify high-risk customer segments based on various risk factors such as on and off-us credit build and payment behaviors, default probability, and pattern change
• Strategy Formulation: Develop and implement comprehensive champion and challenger strategies covering balance control (credit line decreases, line closure), early/mid/late stage collections, loss mitigation, and recovery.  Assess customer engagement patterns to take into account contact and digital strategies.
• Journey Mapping: Create customer journey maps tailored to this segment, driving seamless and effective processes end-to-end
• Data Analysis: Utilize data analytics and collaborate with modeling groups to assess risk levels and develop tools and strategies to optimize returns.
• Policy Development and Implementation Execution: Collaborate with cross-functional operations and Cards segment managers to establish and implement standards, ensuring compliance with regulatory requirements and meeting industry best practice. Manage external agencies, including asset sales.
• Performance Monitoring: Establish key performance indicators and metrics to monitor effectiveness of strategies; implement MIS to identify new trends and signals.
• Identify and manage credit abuse:  Identify patterns indicative of credit abuse, implement early warning interventions, and review and update credit abuse detection mechanisms
• Stakeholder Engagement: Engage with internal stakeholders including risk management teams, business units to communicate findings, inform loss and recovery expectations, and provide input into originations and line strategies. 
• Team Leadership: provide leadership and guidance to a team of professionals responsible for executing strategies, fostering a culture of accountability, innovation, and continuous improvement.

The position requires significant collaboration across all consumer lines of business, collections operations, recovery operations, compliance, legal, independent risk, and other groups. The individual serves as a member of the Risk Management Leadership Team and leads a large team of employees both onshore and offshore

Qualifications:

• 15+ years’ experience in credit risk management, with expertise in collections and recovery functions, through the economic cycle; experience with Fintech desirable
• Bachelor’s degree, Masters preferred
• Strong analytical skills and proficiency in data analysis tools and techniques.
• In-depth knowledge of regulatory requirements and industry standards.
• Excellent communication and leadership, demonstrates strong partnership and trust with stakeholders across organizational boundaries; willing to break down functional silos to optimize business results and to facilitate the overall growth of the franchise
• Experience with and previous exposure to internal or external control functions and regulators
• Strong interpersonal skills and ability to challenge & influence at all levels of management, flexibility to work well with varying personal styles, and ability to create a diverse & inclusive culture

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Job Family Group:

Risk Management

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Job Family:

Risk Policy

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Time Type:

Full time

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Primary Location:

New York New York United States

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Primary Location Salary Range:

$250,000.00 - $500,000.00

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Citi is an equal opportunity and affirmative action employer.

Qualified applicants will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Citigroup Inc. and its subsidiaries ("Citi”) invite all qualified interested applicants to apply for career opportunities. If you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi.

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View the EEO Policy Statement.

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