Health Claims Adjudicator (24/7 Ops) with AI Tools

Allianz; Kuala Lumpur; Presencial; MYR 42.000 - 66.000; Jornada completa

Descripción de la vacante

Allianz Malaysia is seeking a claims processor to review and process health claims within policy guidelines, ensuring accuracy and timely payments. The role requires handling hospital admission and discharge processes as part of 24/7 operations from the KL Sentral area.

The ideal candidate holds a Diploma or degree in health sciences, has 2–3 years in healthcare claims, and communicates fluently in English and Bahasa Malaysia.

Formación

• Diploma or degree in health sciences or related field.
• 2–3 years in healthcare claims processing.
• Strong English and Bahasa Malaysia communication, both written and spoken.
• Detail-oriented with ability to work independently in a 24/7 environment.
• Proficient with AI tools such as ChatGPT or Copilot to automate tasks.

Responsabilidades

• Process and review health claims for reimbursement within policy guidelines.
• Manage day-to-day 24/7 operations for hospital admission and discharge.
• Ensure timely claim settlements and payments within service standards.
• Support Helpline with medical reimbursement inquiries.
• Utilize AI tools to automate routine tasks and boost productivity.

Conocimientos

Communication

Detail oriented

Bilingual English/BM

Teamwork

24/7 operations

Educación

Diploma/ Degree in health science

Herramientas

ChatGPT

Copilot

Descripción del empleo

Allianz Malaysia is seeking a claims processor to review and process health claims within policy guidelines, ensuring accuracy and timely payments. The role requires handling hospital admission and discharge processes as part of 24/7 operations from the KL Sentral area.

The ideal candidate holds a Diploma or degree in health sciences, has 2–3 years in healthcare claims, and communicates fluently in English and Bahasa Malaysia.