Claims Processing Associate (APOS)

Job Description • Review and process claims submitted • Verify eligibility criteria (e.g., employee status, leave entitlement, caps, and claim limits) based on prevailing regulations • Validate supporting documents such as payslips, employment records, birth certificates, leave records • Ensure claims are processed within stipulated turnaround time and service-level agreements (SLAs) • Calculate reimbursement amounts accurately according to scheme rules and statutory caps • Identify discrepancies, incomplete submissions, or non-compliance issues and follow up with employers/applicants • Liaise with government agencies, employers, and internal stakeholders to resolve claim-related queries • Maintain proper documentation and audit trails for all processed claims • Monitor and detect potential fraud, misrepresentation, or duplicate claims, and escalate when necessary • Provide clear communication and guidance to applicants on claim outcomes and requirements Requirements • Diploma/Degree in Business Administration, Public Administration, Finance, HR, customer service or related fields • 2 years of experience in claims processing, payroll, HR operations, customer service or government scheme administration preferred • Proficient in MS Office • Strong attention to detail and ability to interpret policies and guidelines • Good written and verbal communication skills • Accuracy and strong numerical skills (for claims calculation) • Policy interpretation and compliance awareness • Analytical and problem-solving skills • Time management with ability to handle high-volume processing • Customer service mindset (handling employers and employees) • Integrity and confidentiality with sensitive personal data Work Location - Ang Mo Kio Monday to Friday 8am to 5.30pm 2-year contract