CALL CENTRE EXECUTIVE/ CUSTOMER SERVICE ASSOCIATES

Compumed Services; Kuala Lumpur; On-site; MYR 20,000 - 100,000; Full time

Job summary

A healthcare service provider based in Kuala Lumpur is seeking a Call Centre Executive / Customer Service Associate to deliver quality service related to medical and insurance claims. The role requires excellent communication skills and the ability to work independently. Ideal candidates should have experience in the insurance field, good command of English and Bahasa Malaysia, and must be willing to work on rotating shifts, including weekends and holidays.

Qualifications

• Must have medical/life insurance claims experience.
• Knowledge of insurance/medical terminologies required.
• Good command of both spoken and written English and Bahasa Malaysia.

Responsibilities

• Deliver quality customer service and solutions for claims issues.
• Prepare documents for claims submissions to insurance companies.
• Update the status of members during hospitalization.

Skills

Communication skills

Interpersonal skills

Attention to detail

Customer service orientation

Education

STPM/ 'A' Level/ Pre-U / Diploma / Degree or equivalent

Job description

CALL CENTRE EXECUTIVE/ CUSTOMER SERVICE ASSOCIATES

• Deliver quality customer service and appropriate solutions with regards to medical/insurance claims and clinical services issues.
• Provide a polite, professional and accurate response in accordance with the agreed service standards.
• Liaise with hospital personnel with regards to the management of a member during pre‑hospitalization, hospitalization and post hospitalization.
• Prepare complete documents for submission of claims to the insurance company.
• Update the status of members during hospitalization.
• Attend to inquiries from insurance companies and service providers with regards the Company’s operating procedures.
• Attend to inquiries and liaise with members regarding reimbursement procedures.
• Assist the Call Centre Team and support to the new recruits in the Company.
• Subject to working night shifts and abiding to the duty roster prepared by the Management.
• Approval of simple claims during and after office hours.
• Prepare Payment Notice, Guarantee Letter & Decline Letter in daily course of duties based on job tasks requirement.
• Perform relief task as and when required by the Management.
• Maintain a proper filing system.

POSITION SPECIFICATIONS

• At least STPM/ "A" Level/ Pre‑U /Diploma/Degree or equivalent in any field.
• Those with medical/life insurance claims, hospital services, and clinical services experience.
• Knowledge of insurance/medical terminologies and insurance policy.
• Communication and interpersonal skills.
• Pleasant voice with positive phone manners and attentive listening skills.
• Good command of both spoken and written English and Bahasa Malaysia.
• Able to work independently.
• Able to work on rotating shift duty as well as on weekends and public holidays.