Associate, Medical Claim_System Support

Great Eastern Life; Kuala Lumpur; On-site; MYR 40,000 - 60,000; Full time

Job summary

A leading insurance company in Malaysia seeks an Associate for Medical Claim System Support. The role involves managing inquiries, supporting claims processes, and ensuring customer service excellence. Ideal candidates have strong communication skills and relevant experience in healthcare or insurance.

Qualifications

• 3-5 years of experience in Call Centre, Healthcare, Life Insurance, or Financial industries.

Responsibilities

• Handle and respond to calls and written enquiries.
• Support Care Coordinators in issuing Guarantee Letters.
• Provide coaching to call centre associates.

Skills

Communication

Customer Service

Conflict Resolution

Data Interpretation

Education

Tertiary Qualifications in Communication

Degree in Nursing

Job description

Job Description - Associate, Medical Claim_System Support (250000E9)

Job Number:

250000E9

About the Job

• Handle and respond appropriately to all calls and written enquiries following company standards and guidelines.
• Respond to enquiries and complaints from agents, policyholders, and service providers.

The Job

• Answer inbound calls, respond, and resolve queries related to medical products & policies, guarantee letters, medical claims, investigations, and The Great Journey, adhering to company standards and guidelines.
• Reply to written enquiries via email/ICM related to claims, medical products and benefits, guarantee letters, investigations, and admissions.
• Support Care Coordinators in issuing Guarantee Letters.
• Attend to other tasks or cross-training assignments as needed.
• Ensure customer service standards are consistently met.
• Provide coaching to call centre associates.
• Handle ad hoc tasks and paperwork as assigned.
• Consider business and regulatory compliance risks and take steps to mitigate them.
• Stay informed about industry trends, regulatory changes, emerging threats, and technologies to better safeguard the company.
• Highlight potential concerns or risks and share best risk management practices proactively.

We are looking for people who

• Possess tertiary qualifications in Communication, Management, Business Administration, or Insurance (preferred).
• Have ALMI, FLMI, Diploma in MII, or part ACII, AMII (advantageous).
• Hold a degree in Nursing or Healthcare-related disciplines (advantageous).
• Have 3–5 years of experience, preferably in Call Centre, Healthcare, Life Insurance, or Financial industries.
• Possess good communication skills (written & verbal), customer service concepts & best practices, conflict resolution, and basic data interpretation.
• Have supervisory and resource planning skills.
• Be willing to be on-call for operational or servicing needs.
• Be prepared to work on shifts.

How you succeed

• Champion and embody our Core Values daily.
• Demonstrate integrity and accountability.
• Take initiative to improve and embrace change.
• Manage business and regulatory compliance risks proactively.
• Stay updated on industry trends, regulatory changes, and emerging threats to identify and mitigate potential risks.

Who we are

Founded in 1908, Great Eastern is a market leader and trusted brand in Singapore and Malaysia, with over S$100 billion in assets and more than 16 million policyholders. We operate through various distribution channels, including agency, bancassurance, and financial advisory services, also extending our reach to Indonesia and Brunei.

Our subsidiaries, Great Eastern Life Assurance and Great Eastern General Insurance, hold high credit ratings from S&P Global Ratings since 2010. Our asset management arm, Lion Global Investors, is a leading firm in Southeast Asia.

Great Eastern is a subsidiary of OCBC, Singapore’s longest-established bank, formed in 1932. OCBC is highly rated and recognized globally for its stability and strength.

Note to Recruitment Agencies: Great Eastern does not accept unsolicited resumes. Please do not forward resumes to our email or employees. We are not responsible for any fees related to unsolicited resumes.