Healthcare Claims & Service Executive

CompuMed Services Sdn Bhd; Kuala Lumpur; On-site; MYR 31,000 - 50,000; Full time

Job summary

CompuMed Services Sdn Bhd is seeking a Claims Executive or Assistant / Call Centre Executive to deliver quality customer service on medical and insurance claims. You will provide polite, professional responses and coordinate with hospital staff for pre/post hospitalization cases, while ensuring accurate submission of claims to insurers.

The role requires at least STPM/A-Level/Pre-U/ diploma/ degree, strong Bahasa Malaysia and English, and knowledge of medical terminologies.

Qualifications

• At least STPM/ "A" Level/ Pre-U /Diploma/Degree or equivalent in any field.
• Good spoken and written communication skills in Bahasa Malaysia & English.
• Knowledge of insurance/medical terminologies and policies.
• Working experience in healthcare, insurance or similar capacity.

Responsibilities

• Deliver quality customer service and appropriate solutions regarding medical/insurance claims.
• Provide polite, professional and accurate response per service standards.
• Liaise with hospital personnel regarding member management during pre-, during and post-hospitalization.
• Prepare complete documents for submission of claims to insurers.
• Update status of members during hospitalization.
• Attend to inquiries from insurance companies and service providers regarding procedures.
• Attend to inquiries and liaise with members on reimbursement procedures.
• Adjudicate simple claims during and after office hours.
• Maintain filing system and prepare reports as required.
• Support Call Centre & Claims team and assist new recruits when needed.

Skills

Bahasa Malaysia

English

Education

STPM/ A-Level/ Pre-U/ Diploma/ Degree

Tools

Computer Literate

Microsoft Office

Job description

CompuMed Services Sdn Bhd is seeking a Claims Executive or Assistant / Call Centre Executive to deliver quality customer service on medical and insurance claims. You will provide polite, professional responses and coordinate with hospital staff for pre/post hospitalization cases, while ensuring accurate submission of claims to insurers.

The role requires at least STPM/A-Level/Pre-U/ diploma/ degree, strong Bahasa Malaysia and English, and knowledge of medical terminologies.