Executive, Claim Adjudicator (24/7 Cashless Administration)

Allianz Malaysia; Kuala Lumpur; On-site; MYR 40,000 - 60,000; Full time

Job summary

A leading insurance provider in Kuala Lumpur is seeking a claims processor to assess and manage medical claims. The ideal candidate will have a diploma in a relevant field, 2-3 years of experience in healthcare, and possess strong communication skills. This is a full-time role requiring attention to detail and the ability to work in a fast-paced environment.

Qualifications

• Minimum 2 - 3 years working experience in the healthcare related industry.
• Able to work independently in a fast-paced environment.
• Results-oriented with a sense of urgency towards customer service.

Responsibilities

• Assess and process health/medical claims for reimbursement.
• Responsible for the day-to-day operations for guarantee facilities.
• Ensure claims payments are processed within turnaround time.

Skills

Good communication skills

Attention to detail

Teamwork

Knowledge in medical claims

Familiarity with AI tools

Education

Diploma/ Degree in medical or health science

Job description

Does customer satisfaction inspire you?

This role is to process and review all medical/ health claims within specified authority limit and ensure that payments are made within the turnaround time (TAT).

You’ll Be Responsible For

• To assess and process all health/ medical claim for reimbursement in line with policy guidelines within authority limit
• Responsible for the day-to-day 24/7 operations for guarantee facilities (hospital admission and discharge)
• To be responsible for claim settlement and ensure payments are process within the agreed turnaround time and service standard
• To support Helpline team with enquiries pertaining to medical reimbursement
• To response to customer’s enquiries on claim reimbursement matters in a timely manner
• Assume the responsibilities of other team members as and when requires
• Participate in project initiatives to improve efficiency and productivity of the department

Important To Your Success

• Diploma/ Degree in any medical or health science related field of study
• Minimum 2 - 3 years working experience in healthcare related industry or knowledge in medical/ health claims
• Possess good communication skill and good command of spoken and written English and Bahasa Malaysia
• Meticulous and attention to details
• Able to work independently in a 24/7 fast-paced environment
• Result-oriented with sense of urgency towards True Customer Centricity
• Demonstrates ability to work as a team to deliver Allianz’s enhanced customer experience journey
• Familiarity with AI tools like ChatGPT or Copilot is an added advantage.
• Applicants must be willing to work in KL Sentral

Disclaimer

Thank you for your interest in joining our team. Due to the high volume of applications we receive, we are unable to provide individual feedback to every applicant. If you do not hear from us within 14 days of submitting your application, please assume that you have not been selected for this position.

Important

All updates regarding your application status will be communicated via email. Please ensure you frequently check your email for updates and further instructions.

Note

Allianz will not accept any forward unsolicited resumes from any source to our employees email other than directly from a candidate. We will not be responsible for any fees and charges impose.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us. Let's care for tomorrow. For a career with plenty of room to grow!

Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz’s company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.