Executive, Claims Adjudicator (24/7 Cashless Administration) - Contract

Allianz; Kuala Lumpur; On-site; MYR 48,000 - 72,000; Full time

Job summary

Allianz Malaysia is hiring for a health claims processor to review and process medical claims in line with policy guidelines. The role covers hospital admission and discharge, ensuring timely settlements and service standards.

You will support the Helpline and leverage AI tools like ChatGPT to automate routine tasks. Ideal candidates have a medical/health science background and 2–3 years in healthcare claims, with strong English and Bahasa Malaysia communication and meticulous attention to

Qualifications

• Diploma/ Degree in medical or health science related field.
• Minimum 2–3 years’ experience in healthcare with claims knowledge.
• Good communication skills in English and Bahasa Malaysia.

Responsibilities

• 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
• Familiarity with using ChatGPT for automating routine tasks and enhancing productivity

Skills

Communication

English proficiency

Bahasa Malaysia

Attention to detail

Teamwork

Independent work

Education

Diploma/ Degree in Medical or Health Science

Tools

ChatGPT

Copilot

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
• Familiarity with using ChatGPT for automating routine tasks and enhancing productivity

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; 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
• Proficient in the use of AI tools such as ChatGPT, Copilot, or similar technologies to enhance productivity and work quality.
• Applicants must be willing to work in KL Sentral

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.

Great to have you on board. Let's care for tomorrow.