Claims Officer (Bayan Lepas, Penang)

Integrated Health Plans Sdn Bhd; Bayan Lepas; On-site; MYR 28,000 - 45,000; Full time

Job summary

Integrated Health Plans Sdn Bhd in Malaysia is seeking a claims processor to review, assess and approve medical claims within the target turnaround time. You will key claim information into the system and provide timely findings with chronological updates.

You will handle enquiries from internal and external parties, follow up on pending cases to ensure proper closure, and generate payment reports. Entry level applicants are welcome to apply.

Qualifications

• Strong communication and interpersonal skills.
• Excellent English (written and spoken).
• Ability to multitask and deliver timely updates.

Responsibilities

• Review, assess and approve medical claims within service targets.
• Enter claim information into the system.
• Investigate claims and provide findings with updates.
• Follow up on pending cases to closure.
• Handle enquiries from internal and external parties within turnaround targets.
• Provide admin support to the claims team.
• Generate payment reports.
• Perform ad-hoc tasks as required.

Skills

Communication

Customer service

Teamwork

Attention to detail

Tools

MS Office

Claim processing system

Job description

Review, assess and approve medical claims accurately within the agreed targeted service turnaround time and respective client/insurer claims adjudication guidelines & practices

Keying in of claim information into the system

Attend to claims investigation and provide findings/chronological updates

Timely follow-up & follow-up on pending cases for proper closure

Handle enquiries from internal and external parties within the agreed targeted turnaround time

Provide admin support to the claim team

Generation of payment report

Perform any ad-hoc task/assignment as required

Requirements:

Good communication, interpersonal and customer engagement skills

Good command of English (written and spoken)

Proficient in MS Office and have good IT knowledge

Initiative, Responsive, Responsible and Disciplined

Service-oriented, good team player and able to multi-task

Meticulous with keen attention to details

Entry level are welcome to apply

Claims processing experience/knowledge is an advantage

Established in 1994, Integrated Health Plans Pte Ltd (IHP) provides managed healthcare services to corporate clients ranging from SMEs to MNCs. As a neutral third party administrator, we’re committed to providing organisations with quality medical care at highly-competitive rates regardless of business size. We do this by contracting with medical providers who are sensitive to the issue of increasing healthcare costs, negotiating significant rate concessions with these providers, undertaking utilisation reviews and analyses to manage consumption, and establishing quality assurance processes to ensure the highest standard of medical care.