Customer Service Executive (GL Discharge/Admission/Outpatient Team)

MiCARE Group; Selangor; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance company in Malaysia is seeking an Executive for the Guarantee Letter process. You'll handle claims management, ensuring all documentation is complete and accurate for GL issuance. The ideal candidate has a Diploma or Degree in a relevant field and 2-3 years of experience in the insurance or healthcare sectors. This role offers the chance to work in a dynamic environment with shift flexibility and the opportunity to make a significant impact in client services.

Benefits

Great Bonus

Free Parking

Shift allowance

Qualifications

• 2 to 3 years of experience in Third Party Administration or the insurance industry.
• Familiarity with the Globally Harmonized System (GHS) is a plus.
• Ability to thrive in a fast-paced environment.

Responsibilities

• Evaluate cases to ensure alignment with insurance policy terms.
• Verify documents for Guarantee Letter issuance.
• Issue GLs for requests via various channels.
• Follow up with hospitals for missing documents.
• Confirm receipt of Outpatient GLs.

Skills

Excellent verbal communication

Excellent written communication

Strong computer skills

Attention to detail

Customer-focused

Education

Diploma or Degree in Medical Science, Nursing, Medicine, Healthcare

Job description

Kickstart Your Career in the Insurance Industry!

Are you ready to embark on an exciting career journey in the insurance sector? Join our dynamic team at MiCare, where innovation meets excellence. As an Executive, GL (Guarantee Letter), you'll play a pivotal role in our claims management process, ensuring that Guarantee Letter (GL) claims are handled with precision and professionalism. You will be hired under one team only (Admission/Discharge). Be a key contributor to our mission of delivering seamless and efficient insurance claim processes.

What We Offer

Great Bonus

Free Parking

What You Will Be Accountable For

Case Assessment: Evaluate cases from various departments to ensure alignment with the insurance policy's terms and conditions.

Document Verification: Ensure that all received documents are complete and contain the necessary information for Guarantee Letter (GL) issuance.

Guarantee Letter Issuance: Issue GLs for requests received via E‑fax, client‑dedicated email, and phone calls.

Follow‑Up: Proactively follow up with hospitals to obtain any missing documents, such as detailed bills and medication dosages, or reports required for incomplete cases.

Confirmation: Contact hospitals to confirm the receipt of Outpatient (OP) GLs.

Sender Communication: Follow up with the sender if the received documents are incomplete, ensuring all required information is obtained.

Client Services: Demonstrate a results‑oriented approach, urgency, cooperativeness, and eagerness to foster teamwork and deliver exceptional client services.

Email Correspondence: Respond promptly to email inquiries related to admission and discharge processes.

Why This Role is Exciting

Dynamic Work Environment: Thrive in a fast‑paced setting where every day brings new challenges and opportunities.

Shift Flexibility: Enjoy the flexibility of working in shifts, including nights, weekends, and public holidays. Plus, you'll receive a shift allowance for your commitment.

Essential Experience, Skills, and Knowledge

Educational Background: Diploma or Degree in Medical Science, Nursing, Medicine, Healthcare, or a relevant field.

Experience: 2 to 3 years of experience in Third Party Administration (TPA), the insurance industry (Health & Safety), or the healthcare sector.

Knowledge: Familiarity with GHS (Globally Harmonized System) and experience in handling Guarantee Letter (GL) issuance is a plus.

Communication Skills: Excellent verbal and written communication skills in both English and Bahasa Malaysia to effectively engage with our diverse clientele.

Technical Skills: Strong computer skills with meticulous attention to detail.

Personal Attributes: Pleasant disposition with clear intonation over the phone. Ability to thrive in a fast‑paced environment, work independently, and remain customer‑focused, result‑oriented, and disciplined.

Shift Requirements: Willingness to work in shifts, including nights, weekends, and public holidays, as our GL department operates 24 hours a day.

Transport: Must have access to personal transportation.

This position will be based in Bukit Jelutong, Shah Alam (5 positions).

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