Claims Officer (Johor Bahru)

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

Job summary

Integrated Health Plans Sdn Bhd, Malaysia, is seeking a claims handler to review, assess and approve medical claims within the agreed turnaround time. You will key in claim information, attend investigations and provide chronological updates to maintain accuracy and compliance.

The role requires strong English communication, proficiency in MS Office, and keen attention to detail. You will handle inquiries, provide admin support to the claims team, and generate payment reports, with entry level

Qualifications

• Strong communication, interpersonal and customer engagement skills.
• Proficient in English (written and spoken).
• MS Office proficiency and good IT knowledge.
• Initiative, Responsive, Responsible and Disciplined.
• Service-oriented, good team player and able to multi-task.
• Meticulous with keen attention to detail.
• Entry level are welcome to apply.
• Claims processing 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 skills

Interpersonal skills

Customer engagement

English proficiency

MS Office

IT knowledge

Initiative

Responsiveness

Team player

Multi-tasking

Attention to detail

Entry level

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

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.