Claims Officer / Executive (Bayan Lepas, Penang)

Integrated Health Plans; Bayan Lepas; On-site; MYR 100,000 - 150,000; Full time

Job summary

A healthcare insurance provider is looking for a Claims Processor in Penang to review and approve medical claims within targeted turnaround times. Key responsibilities include keying in claim information, investigating claims, and handling enquiries from various parties. The ideal candidate has good communication skills, is proficient in MS Office, and can multi-task. Entry level candidates are welcome to apply, making this a great opportunity for new graduates eager to enter the healthcare industry.

Qualifications

• Entry level candidates are welcome to apply.
• Claims processing experience or knowledge is an advantage.
• Good command of English, both written and spoken.

Responsibilities

• Review and approve medical claims accurately.
• Key in claim information into the system.
• Investigate claims and provide updates.
• Handle enquiries from internal and external parties.
• Provide admin support to the claims team.

Skills

Good communication skills

Interpersonal skills

Customer engagement

Proficient in MS Office

Attention to detail

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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