Claims Support Administrator/ Executive

Asia Global Advisory; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A healthcare service provider based in Kuala Lumpur seeks a dedicated professional for claims processing. Candidates must have 2–3 years of experience in medical-related roles and proficiency in MS Office. The role involves managing claims, ensuring compliance with service level agreements, and supporting operational efficiency. Strong written and spoken English skills are essential. This position is ideal for detail-oriented individuals seeking growth in a dynamic healthcare administration environment.

Qualifications

• 2–3 years of experience in claims or medical-related roles.
• Background in healthcare or insurance preferred.
• Knowledge of medical claims processes is advantageous.

Responsibilities

• Accurately process claims and assess PAFs.
• Ensure adherence to service level agreements (SLAs).
• Handle enquiries regarding claims from members and clients.
• Support daily operations to enhance service delivery.
• Manage documentation and coordinate follow-ups.

Skills

Attention to detail

Proficiency in MS Office

Excellent written and spoken English

Job description

AGA is assisting our client, IXChange Pte Ltd, a member of the IHH Healthcare network—one of the world’s largest healthcare service providers. With over 20 years of experience delivering end-to-end healthcare solutions in Third Party Administration (TPA), IXChange is committed to providing world-class patient care, supported by a comprehensive suite of digital tools that ensure convenient access to services anytime, anywhere.

Key Responsibilities

• Accurately and promptly process claims, assess PAFs, and issue LOGs for assigned client accounts.
• Ensure strict adherence to service level agreements (SLAs) and compliance standards.
• Handle enquiries from members, clients, and service providers regarding claims, where required, via the benefits team hotline.
• Work independently while supporting the team’s daily operations to enhance overall service delivery and operational efficiency.
• Manage documentation, verify information, coordinate with internal and external parties, and ensure timely follow-up for each case.

Ideal Candidate

We are looking for a dedicated and detail-oriented professional who thrives in a structured work environment and is committed to delivering high-quality service. Candidates with a background in healthcare or insurance are preferred, with knowledge of medical claims processes being highly advantageous.

The ideal candidate should possess strong proficiency in MS Office tools, demonstrate accuracy and attention to detail, and have 2–3 years of experience in claims or medical-related roles. Excellent written and spoken English skills are required.

This position is based in Kuala Lumpur and is ideal for candidates seeking growth within a dynamic healthcare administration setting.