Medical Claims Analyst - Fresh Grad: Bio/Chemi/Physio

AIA; Sepang; On-site; MYR 100,000 - 150,000; Full time

Job summary

An established industry player is seeking a Medical Claims Analyst, ideal for fresh graduates or those with experience in medical claims. This role involves processing life and health claims, evaluating data accuracy, and preparing reports for management. The position requires fluency in English and Mandarin, with a focus on customer orientation and self-motivation. Candidates must be adaptable to a desk-bound environment and willing to work shifts, including weekends. Join a dynamic team where your contributions will enhance operational efficiency and support a vital service in the healthcare sector.

Qualifications

• Open to fresh graduates or experienced candidates in medical claims.
• Recognized tertiary education in relevant fields is essential.

Responsibilities

• Process various health and accident claims efficiently.
• Prepare reports on metrics relating to operations and compliance.

Skills

Data Evaluation

Customer Orientation

Self-Motivation

Adaptability

Communication Skills

Education

Diploma in Biomedical

Degree in Biology

Degree in Chemistry

Degree in Physiotherapy

Job description

Medical Claims Analyst - Fresh Grad: Bio/Chemi/Physio

Job Responsibilities:

• Process all Life / Accident and Health (A&H) / Major Claims / Corporate Solutions (CS) / Pre-Approval (PA) claims requests received as per stipulated requirements.
• Evaluate and capture all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim system.
• Ensure meeting individual quality, turnaround time and productivity benchmark.
• Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements.
• Prepares regular reporting to management on metrics relating to business, operations, risk, compliance, workforce, etc. or statutory authorities on regulatory metrics.
• Develop procedures for reporting, extract, collate and populate data to reporting template.
• Validate data accuracy and liaise with relevant parties to rectify data quality.

Job Requirements:

• Open to Fresh Graduate, experienced Medical Claims Assessor, experienced candidate from Lab / Nursing.
• A recognized tertiary Diploma / Degree in Biomedical, Biology, Chemistry, Pharmacist, Nutrition, Radiotherapy, Biotechnology, Physiotherapy, Sport Science, Food Science and Optometry.
• Fluent in spoken English & Mandarin. Ability to read and write in Mandarin is a must to support HK region.
• Self-motivated and customer orientated.
• Good dedication at work, good demeanor, willing to learn.
• Able to adapt desk-bound working environment, working shift including weekend on rotation basis & able to work overtime beyond normal office hour (including weekend & public holiday).
• Willing to work in Cyberjaya.
• The role is required to follow Hong Kong working calendar.