Entry-Level Claims Executive

Global Lancesoft; Kuala Lumpur; On-site; MYR 45,000 - 73,000; Full time

Benefits offered by this job

Annual Leave

Medical Insurance

EPF

SOCSO

EIS

Job summary

Jora Malaysia is seeking an insurance claims processor to handle medical, health, life, employee benefits, and general insurance claims. The role requires 1-3 years of experience and a diploma or bachelor’s degree, with proficiency in Excel/Word and bilingual communication in English and Mandarin.

Strong attention to detail and the ability to work independently are essential. You will review documents, determine eligibility, calculate settlements, and ensure compliance with SOPs and SLAs while

Qualifications

• Diploma or Bachelor's degree in any discipline.
• 1-3 years of experience in insurance claims processing (Medical, Health, Life, Employee Benefits, or General Insurance).
• Strong knowledge of claims adjudication, claim verification, eligibility assessment, and claim settlement.
• Proficient in Microsoft Office (Excel and Word).
• Ability to read, write, and communicate in English and Chinese (Mandarin).
• Ability to speak Cantonese is mandatory to support Hong Kong clients.

Responsibilities

• Process insurance claims accurately and within agreed turnaround times.
• Review and verify claim documents to determine eligibility and policy coverage.
• Assess claims and calculate claim settlements based on company policies and procedures.
• Ensure claims are processed in compliance with SOPs and SLAs.
• Handle customer inquiries via phone and email, providing timely and professional support.
• Liaise with internal teams and external stakeholders to resolve claim-related issues.
• Maintain accurate records and ensure high-quality claim processing.
• Support ad hoc operational tasks as assigned.
• Collaborate with the team to achieve departmental KPIs and service standards.

Skills

Claims adjudication

Claims verification

Eligibility assessment

Claim settlement

Attention to detail

Analytical thinking

Problem-solving

Communication

Time management

Independent work

Multitasking

English

Chinese (Mandarin)

Cantonese

Education

Diploma or Bachelor's degree

Tools

Microsoft Office (Excel and Word)

Job description

Jora Malaysia will close on 9th September 2026. Thank you for being with us, we are cheering you on as you continue your career journey.

Requirement

• Diploma or Bachelor's degree in any discipline. 1-3 years of experience in insurance claims processing (Medical, Health, Life, Employee Benefits, or General Insurance).
• Strong knowledge of claims adjudication, claim verification, eligibility assessment, and claim settlement.
• Proficient in Microsoft Office (Excel and Word).
• Ability to read, write, and communicate in English and Chinese (Mandarin).
• Ability to speak Cantonese is mandatory to support Hong Kong clients.
• Strong attention to detail, analytical, and problem-solving skills.
• Excellent communication, organizational, and time management skills.
• Able to work independently, manage multiple priorities, and perform well in a fast-paced environment.
• Prior experience working in an insurance company, TPA, shared service center, or insurance BPO is an advantage.

Requirement

• Diploma or Bachelor's degree in any discipline. 1-3 years of experience in insurance claims processing (Medical, Health, Life, Employee Benefits, or General Insurance).
• Strong knowledge of claims adjudication, claim verification, eligibility assessment, and claim settlement.
• Proficient in Microsoft Office (Excel and Word).
• Ability to read, write, and communicate in English and Chinese (Mandarin).
• Ability to speak Cantonese is mandatory to support Hong Kong clients.
• Strong attention to detail, analytical, and problem-solving skills.
• Excellent communication, organizational, and time management skills.
• Able to work independently, manage multiple priorities, and perform well in a fast-paced environment.
• Prior experience working in an insurance company, TPA, shared service center, or insurance BPO is an advantage.

Responsibility

• Process insurance claims accurately and within agreed turnaround times. Review and verify claim documents to determine eligibility and policy coverage.
• Assess claims and calculate claim settlements based on company policies and procedures.
• Ensure claims are processed in compliance with SOPs and service level agreements (SLAs).
• Handle customer inquiries via phone and email, providing timely and professional support.
• Liaise with internal teams and external stakeholders to resolve claim-related issues.
• Maintain accurate records and ensure high-quality claim processing.
• Support ad hoc operational tasks as assigned.
• Collaborate with the team to achieve departmental KPIs and service standards.

Benefits

• Annual Leave
• Medical Insurance
• EPF
• SOCSO
• EIS