Claims Officer / Executive

Integrated Health Plans; Johor Bahru; On-site; MYR 200,000 - 250,000; Full time

Job summary

A healthcare service provider in Johor Bahru is seeking candidates for a role focused on medical claims processing. Responsibilities include reviewing claims, managing enquiries, and providing administrative support. Ideal candidates should possess strong communication skills and attention to detail. This position is open to entry-level applicants, offering an opportunity to start in the healthcare field. Knowledge of claims processing is advantageous but not required.

Qualifications

• Good command of English (written and spoken).
• Initiative, responsive, responsible, and disciplined.
• Meticulous with keen attention to details.

Responsibilities

• Review, assess, and approve medical claims accurately.
• Keying in claim information into the system.
• Attend to claims investigation and provide updates.
• Timely follow-up on pending cases.
• Handle enquiries from internal and external parties.
• Provide admin support to the claim team.
• Generate payment report.

Skills

Good communication skills

Customer engagement skills

Proficient in MS Office

Good IT knowledge

Service-oriented

Good team player

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

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