24/7 Healthcare Claims Adjudicator — AI-Enabled

Allianz Malaysia; Kuala Lumpur; On-site; MYR 56,000 - 78,000; Full time

Job summary

Allianz Malaysia invites applications for a role to process and review health claims, ensuring payments are made within turnaround time and policy guidelines. The position requires handling 24/7 operations for hospital admission and discharge while maintaining accuracy and patient-centric service.

The ideal candidate holds a health-related diploma or degree, 2–3 years in healthcare claims, strong English and Bahasa Malaysia, and is comfortable using AI tools such as ChatGPT or Copilot to boost

Qualifications

• Diploma or degree in medical/health sciences.
• 2–3 years in healthcare/medical claims.
• Good communication and bilingual English/Bahasa Malaysia.

Responsibilities

• Process and review health/medical claims for reimbursement within policy guidelines.
• Manage day-to-day 24/7 operations for guarantee facilities (hospital admission/discharge).
• Ensure claim settlements and payments within turnaround time and service standards.
• Support Helpline with medical reimbursement inquiries.
• Utilize AI tools like ChatGPT or Copilot to automate routine tasks.

Skills

Communication

English proficiency

Bahasa Malaysia

Education

Diploma/degree in health sciences

Tools

ChatGPT

Copilot

Job description

Allianz Malaysia invites applications for a role to process and review health claims, ensuring payments are made within turnaround time and policy guidelines. The position requires handling 24/7 operations for hospital admission and discharge while maintaining accuracy and patient-centric service.

The ideal candidate holds a health-related diploma or degree, 2–3 years in healthcare claims, strong English and Bahasa Malaysia, and is comfortable using AI tools such as ChatGPT or Copilot to boost