Medical Claims Analyst (24/7 Shift) - Fresh Grads Welcome

IA International Assistance; Petaling Jaya; Vor Ort; MYR 39.000 - 61.000; Vollzeit

Zusammenfassung

IA International Assistance in Malaysia is seeking a Claims Analyst to assess medical insurance claims in accordance with Health Insurance guidelines, rules, and benefits. You will investigate claims, determine liability, and ensure timely, accurate payments while coordinating with relevant parties.

The role requires a Diploma in Nursing or related allied health field; fresh graduates welcome. English and Bahasa Malaysia proficiency, computer literacy, and the ability to work on a 24/7 shift

Qualifikationen

• Minimum Diploma in Nursing or any Medical Related Allied Health qualification.
• Fresh graduates are encouraged to apply.
• Working experience in Healthcare, Insurance, TPA, or related fields is an advantage.
• Must be computer literate with good command of English and Bahasa Malaysia.
• Malaysian citizens or valid residence status.

Aufgaben

• Perform medical insurance claims assessment according to Health Insurance guidelines, rules and benefits.
• Assess legal implications and protect our client’s interest.
• Ensure claims are paid timely and accurately.
• Investigate claims by liaising with relevant parties to determine validity and liability.
• Manage daily operations to meet productivity and service standards.
• Process all incoming requests within service standards and comply with regulatory and corporate requirements.
• Review billing information for correctness and reasonableness of tests, procedures and hospital stays.
• Refer to medical claims for further investigation when necessary.
• Identify inaccuracies in incurred claims and coordinate resolution.
• Handle incoming/outgoing calls as per claims experience procedures.
• Be able to work on a 24/7 rotation schedule and meet KPIs.

Kenntnisse

Computer literacy

English language

Bahasa Malaysia

Team player

Stress management

Shift flexibility

Ausbildung

Diploma in Nursing or Medical Allied Health

Medical degree advantageous

Jobbeschreibung

IA International Assistance in Malaysia is seeking a Claims Analyst to assess medical insurance claims in accordance with Health Insurance guidelines, rules, and benefits. You will investigate claims, determine liability, and ensure timely, accurate payments while coordinating with relevant parties.

The role requires a Diploma in Nursing or related allied health field; fresh graduates welcome. English and Bahasa Malaysia proficiency, computer literacy, and the ability to work on a 24/7 shift