Medical Claims Assessor — Fast-Paced & Detail-Driven

MiCARE Group; Selangor; On-site; MYR 100,000 - 150,000; Full time

Job summary

A healthcare service provider is seeking a Medical Claims Assessor in Selangor, Malaysia. The role involves accurately assessing medical claims, ensuring compliance with regulations, and providing exceptional customer service. Candidates should have relevant educational qualifications and experience in the insurance industry. Proficiency in English and Bahasa Malaysia, along with strong computer skills, is essential. This position offers the opportunity to work in a dynamic environment with additional tasks as needed.

Qualifications

• Must possess a diploma or higher in a relevant field.
• Experience in medical claims or insurance industry is an advantage.
• Able to work independently and manage customer interactions.

Responsibilities

• Assess and process medical claims within specified turnaround time.
• Review claims documentation for accuracy and completeness.
• Respond to inquiries regarding medical claims promptly.

Skills

Medical claims assessment

Fraud detection

Customer service

Communication in English

Communication in Bahasa Malaysia

Education

Diploma in Medical Science/Nursing/Pharmacy/Insurance

Bachelor’s Degree

Professional Certificate

Tools

Microsoft Word

Microsoft Excel

Job description

A healthcare service provider is seeking a Medical Claims Assessor in Selangor, Malaysia. The role involves accurately assessing medical claims, ensuring compliance with regulations, and providing exceptional customer service. Candidates should have relevant educational qualifications and experience in the insurance industry. Proficiency in English and Bahasa Malaysia, along with strong computer skills, is essential. This position offers the opportunity to work in a dynamic environment with additional tasks as needed.