Third-party administrator (TPA)

Fullerton Health’s own Singapore service description gives examples including claims administration, cashless hospitalisation coordination and reporting. The exact responsibilities depend on the appointed arrangement.

HR should record who owns enrolment, clinic access, claims queries, medical decisions and escalation. The administrator and insurer may be different organisations.

Give employees one clear first contact and explain when an issue is escalated. Do not assume all hospital claims go directly to the insurer or all outpatient claims go to the administrator.