Claims Officer / Executive

Integrated Health Plans Sdn Bhd; Johor Bahru; On-site; MYR 28,000 - 39,000; Full time

Job summary

Integrated Health Plans Sdn Bhd is seeking a claims processor to review, assess, and approve medical claims within set turnaround times in line with guidelines. You will key in claim data, investigate, and provide chronological updates while handling inquiries from internal and external parties.

The role includes admin support, payment report generation, and ad-hoc tasks. Entry level candidates are welcome; prior claims processing knowledge is an advantage, and strong English and MS Office

Qualifications

• 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.

Responsibilities

• 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

Skills

Communication

English

Multi-tasking

Teamwork

Tools

MS Office

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

Your application will include the following questions:

• Which of the following statements best describes your right to work in Malaysia?
• What's your expected monthly basic salary?
• How much notice are you required to give your current employer?