Claims Executive

MSH International; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A global leader in health and life insurance seeks a Claims Executive in Kuala Lumpur. You will handle reimbursement claims, manage member relationships, and ensure compliance with client contracts. Ideal candidates have a Diploma or Bachelor’s degree in relevant fields and should be fluent in English, with additional language skills being a strong advantage. The role demands exceptional communication and organizational skills, with a supportive multicultural work environment fostering career growth.

Benefits

Comprehensive training and mentorship

Support from experienced professionals

Dynamic work environment

Qualifications

• Fluency in English is required and proficiency in additional languages is a strong asset.
• Previous experience in the insurance industry or customer service is preferred.

Responsibilities

• Process reimbursement claims from members and hospital claims.
• Manage relationships with insured members and healthcare providers.
• Verify the insured member’s coverage and confirm premium payments.
• Provide support and information to insured members via various channels.

Skills

Exceptional communication skills (both oral and written)

Attention to detail

Organizational skills

Customer service skills

Proficient planning and time management

Education

Diploma or Bachelor’s Degree in Medical Sciences, Languages, or Office Administration

Tools

Microsoft Office (especially Excel)

Job description

About us

MSH International is a global leader in international health and life insurance solutions. With over 1,400 staff across 6 regional offices worldwide and 50 years of expertise, we are proud to offer tailored services to our members. As a multinational company, we are committed to nurturing young talents and providing excellent career growth opportunities.

Whether you have experience in medical claims or are a fresh graduate eager to learn, we invite you to join us!

Position – Claims Executive

Role & Responsibilities

Process reimbursement claims from members and hospital claims, ensuring alignment with client contracts and SLAs.

Manage relationships with insured members, healthcare providers, and stakeholders, supporting portfolio management and related activities.

Process reimbursement claims by:

• Verifying the insured member’s coverage.
• Confirming up‑to‑date premium payments when necessary.
• Checking rates (Usual Customary Rates) and applicable discounts.
• Ensuring compliance with contractual terms.
• Updating databases with accurate claim information.
• Inputting payment statements into the system and resolving rejected payments.
• Providing payment summaries for senior review.
• Managing external data integration from third parties.
• Handle regularization requests, undue payments, returned payments, and specific cases.
• Provide support and information to insured members via telephone (level 2 and overflow), mail, and email.
• Manage and resolve complex cases in collaboration with the high claims team, medical team, and department managers.
• Follow up on client requests and complaints to ensure timely and effective resolution.

Qualifications & Experience

Diploma or Bachelor’s Degree in Medical Sciences, Languages, or Office Administration.

Previous experience or internships in:

• Insurance industry, Third Party Administration, or Call Centers.
• Customer Service, administrative roles, or similar functions.

Proficiency in Microsoft Office, especially Excel, and familiarity with email and internet tools.

Language skills: Fluency in English is required. Proficiency in one or more additional languages (e.g., French, Spanish, Thai, Korean, Japanese) will be a strong asset and may command a higher salary.

Skills

• Exceptional communication skills (both oral and written).
• Keen attention to detail and ability to manage diverse insurance contracts accurately.
• Strong organizational skills with a focus on prioritization and efficiency.
• High levels of accuracy and assiduity in work.
• Ability to multitask, adapt to changing situations, and work under pressure.
• Strong customer service skills, including diplomacy, tact, and active listening.
• Proficient planning and time management capabilities.
• Knowledge of medical terminology is a plus.
• Team player with a collaborative mindset.

What we offer

• A dynamic and multicultural work environment.
• Comprehensive training and mentorship for fresh graduates.
• Support from experienced professionals to help you succeed in your role.

Apply now and grow your career with MSH International!

To learn more about us, visit: https://www.msh-intl.com/en/about-us.html