Claims Officer / Executive

Integrated Health Plans; Johor Bahru; On-site; MYR 22,000 - 36,000; Full time

Job summary

Jora Malaysia is recruiting for a Claims Processor to review and process medical claims and to support the claims team with accurate data entry and timely follow-ups.

The role involves investigations, providing updates, handling inquiries, and generating payment reports, with entry-level applicants encouraged to apply.

Qualifications

• Good communication, interpersonal and customer engagement skills.
• Proficient in MS Office and have good IT knowledge.
• Initiative, responsive, responsible and disciplined.
• Service-oriented, team player and able to multi-task.

Responsibilities

• Review, assess and approve medical claims accurately within guidelines.
• Key in claim information into the system.
• Attend to claims investigation and provide findings/chronological updates.
• Timely follow-up on pending cases for proper closure.
• Handle enquiries from internal and external parties within turnaround times.
• Provide admin support to the claim team.
• Generation of payment report.
• Perform any ad-hoc task/assignment as required.

Skills

Communication

Interpersonal skills

Customer engagement

Team player

Attention to detail

Multi-tasking

Initiative

Tools

MS Office

Job description

Jora Malaysia will close on 9th September 2026. Thank you for being with us, we are cheering you on as you continue your career journey.

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