Claims Coordinator

Global Lancesoft; Kuala Lumpur; On-site; MYR 33,000 - 58,000; Full time

Benefits offered by this job

Annual Leave

Medical Insurance

EPF

SOCSO

EIS

Job summary

Global Lancesoft in Kuala Lumpur seeks a Claims Processor with 1–3 years of experience in insurance claims processing across Medical, Health, Life, Employee Benefits, or General Insurance. The role requires strong adjudication, verification, and settlement skills, plus fluency in English and Mandarin; Cantonese is mandatory to support Hong Kong clients.

You will process claims, verify documents, calculate settlements, handle inquiries, and ensure compliance with SOPs and SLAs while collaborating

Qualifications

• Diploma or Bachelor's degree is required.
• 1–3 years of experience in insurance claims processing (Medical, Health, Life, Employee Benefits, or General Insurance).
• Strong knowledge of claims adjudication, verification, eligibility assessment, and settlement.
• Proficiency in Microsoft Office (Excel and Word).
• Ability to read, write, and communicate in English and Chinese (Mandarin).
• Cantonese speaking ability is mandatory to support Hong Kong clients.

Responsibilities

• Process insurance claims accurately and within agreed turnaround times.
• Review and verify claim documents to determine eligibility and policy coverage.
• Assess claims and calculate settlements based on company policies and procedures.
• Ensure claims are processed in compliance with SOPs and SLAs.
• Handle customer inquiries via phone and email, providing timely and professional support.
• Liaise with internal teams and external stakeholders to resolve claim-related issues.
• Maintain accurate records and support ad hoc operational tasks.

Skills

Claims adjudication

Claim verification

Eligibility assessment

Claim settlement

English and Mandarin

Microsoft Excel

Microsoft Word

Education

Diploma or Bachelor's degree

Tools

Microsoft Office

Job description

Diploma or Bachelor's degree in any discipline. 1–3 years of experience in insurance claims processing (Medical, Health, Life, Employee Benefits, or General Insurance).

• Strong knowledge of claims adjudication, claim verification, eligibility assessment, and claim settlement.
• Proficient in Microsoft Office (Excel and Word).
• Ability to read, write, and communicate in English and Chinese (Mandarin).
• Ability to speak Cantonese is mandatory to support Hong Kong clients.
• Strong attention to detail, analytical, and problem-solving skills.
• Excellent communication, organizational, and time management skills.
• Able to work independently, manage multiple priorities, and perform well in a fast-paced environment.
• Prior experience working in an insurance company, TPA, shared service center, or insurance BPO is an advantage.

Responsibility

Process insurance claims accurately and within agreed turnaround times. Review and verify claim documents to determine eligibility and policy coverage.

• Assess claims and calculate claim settlements based on company policies and procedures.
• Ensure claims are processed in compliance with SOPs and service level agreements (SLAs).
• Handle customer inquiries via phone and email, providing timely and professional support.
• Liaise with internal teams and external stakeholders to resolve claim-related issues.
• Maintain accurate records and ensure high-quality claim processing.
• Support ad hoc operational tasks as assigned.
• Collaborate with the team to achieve departmental KPIs and service standards.

Benefits

• Annual Leave
• Medical Insurance
• EPF
• SOCSO
• EIS