Insurance Operations Administrator

PERSOL; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A renowned recruitment agency in Kuala Lumpur is seeking an experienced professional for processing insurance claims. In this role, you will manage claims, ensuring compliance with SOPs and SLAs. The ideal candidate should have 1-3 years of experience in the insurance industry and be proficient in Microsoft Office applications, while being able to communicate fluently in English and Chinese. The ability to work well within a team and under pressure is crucial for success in this position.

Qualifications

• Minimum 1–3 years of experience in the insurance industry.
• Insurance knowledge in Life Insurance or Employee Health Benefits is an added advantage.

Responsibilities

• Process insurance claims within agreed turnaround times.
• Facilitate a streamlined and accurate claims handling process.
• Ensure final outputs comply with SOPs and SLAs.
• Support ad-hoc tasks as assigned.
• Work as a team player to meet contact center KPIs.

Skills

Proficient in Microsoft Office applications (Excel and Word)

Ability to understand, speak, read, and write English and Chinese

Strong problem-solving skills

Good interpersonal skills

Time management skills

Education

Diploma or higher qualification in any field

Job description

Process insurance claims within agreed turnaround times, including verifying claim documentation, evaluating eligibility, determining coverage parameters, and calculating appropriate settlements.

Facilitate a streamlined and accurate claims handling process to ensure prompt and equitable resolutions.

Ensure final outputs are of high quality and comply with Standard Operating Procedures (SOPs) and assigned Service Level Agreements (SLAs).

Support ad-hoc tasks as assigned.

Work as a team player to ensure contact center KPIs are met.

Proficient in Microsoft Office applications (Excel and Word).

Key Responsibilities

• Process insurance claims within agreed turnaround times, including verifying claim documentation, evaluating eligibility, determining coverage parameters, and calculating appropriate settlements.
• Facilitate a streamlined and accurate claims handling process to ensure prompt and equitable resolutions.
• Ensure final outputs are of high quality and comply with Standard Operating Procedures (SOPs) and assigned Service Level Agreements (SLAs).
• Support ad-hoc tasks as assigned.
• Work as a team player to ensure contact center KPIs are met.

Skills & Competencies

Technical Skills

• Proficient in Microsoft Office applications (Excel and Word).

General Skills

• Ability to understand, speak, read, and write English and Chinese.
• Strong work ethics with a high level of integrity; detail-oriented, compliant, and process-driven.
• A hardworking team player who can prioritize tasks and meet deadlines.
• Good problem-solving, interpersonal, organizational, and time management skills.
• Ability to work independently within turnaround times while contributing effectively as part of a team.
• Strong oral and written communication skills.
• Able to perform effectively in a high-stress environment.

Preferred Candidate Profile

Prior Experience

• Minimum 1–3 years of experience in the insurance industry.
• Insurance knowledge in Life Insurance or Employee Health Benefits is an added advantage.

Education / Qualification

• Diploma or higher qualification in any field.

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