Medical Claims Assessors, Officer/ Senior Officer (VHIS, Remote/Hybrid)

Bowtie Life Insurance Company; Malaysia; Remote; MYR 200,000 - 250,000; Full time

Job summary

A leading health insurance company in Malaysia is seeking a Claims Associate to join its dynamic team. The role involves assessing and processing medical claims while ensuring effective communication with customers. Ideal candidates will have at least 2 years of relevant experience and be bilingual in Chinese. The position offers competitive compensation, flexible working hours, and a vibrant startup culture.

Benefits

Competitive package

Flexible working hours

Medical/dental coverage

Wellness programs

Professional Development Sponsorship

Qualifications

• Minimum of 2 years of claims experience in medical claims (both inpatient and outpatient).
• Prior experience in VHIS medical claims assessment is required.

Responsibilities

• Claims assessment and processing including pre-approval case.
• Communicate with claims customers on claims decisions.
• Prepare regular reports and statistics.

Skills

Bilingual fluency in Chinese (Read / Write)

Good communication skills with customers

Independent, self-motivated, team player

Strong analytical and problem-solving skills

Good PC skills in MS Word, Excel, PowerPoint

Job description

Role Summary

Bowtie’s mission is to make insurance good again and our vision is to build a category-defining health insurance company.

As a young and fast-growing company, grooming and learning from the next generation is always our priority. We are looking for great talents who share our values to join us in our medical claims team (individual medical insurance, VHIS focused).

About the Role

Your Key Responsibilities Include:

• Claims assessment and processing, including pre-approval case, inpatient and outpatient claim
• Communicate with claims customers on claims decisions
• Prepare regular reports and statistics
• Participate in projects of system enhancement and new product development
• Handle administrative support duties in the claims area

About you

• Bilingual fluency inChinese (Read / Write) is necessary
• Minimum of 2 years of claims experience in medical claims (both in-patient, out-patient claims and pre-approval)
• Prior experience in VHIS (Voluntary Health Insurance Scheme)medical claims assessment
• Good communication skills with customers
• Independent, self-motivated, a good team player, and able to work under pressure
• strong analytical and independent problem-solving capability
• Good PC skills in MS Words, EXCEL, Powerpoint

Candidates with more experience will be considered as Senior Claims Officer.

We Offer

Apart from a great career path and an opportunity to do good and do well, we also offer:

• Competitive package
• Flexible working hours
• Benefits include medical/ dental coverage and wellness programs
• Fun, co-operative, and flexible startup culture
• Weekly sharing sessions and regular social gatherings
• Excellent learning opportunities with Professional Development Sponsorship

About Bowtie

We are the first licensed virtual insurer (虛擬保險公司) in Hong Kong.

We believe that insurance is fundamentally good, and we are here to bring the good back through our passionate, innovative, and customer-centric team.

By combining our deep domain expertise and our own proprietary modern technology, we are building one of the most iconic, category-defining health insurance companies in Asia.

We take pride in moving fast all the time and our track record in moving ahead in the game. Our digital insurance platformis also ranked #2 in the world

inSia Partners' 2023 report.

As we grow, we\'re always looking for highly dynamic, hands-on, and passionate talent to join our team. If you are looking for a rewarding career where you will grow together with strong talents from different backgrounds and build products and services that bring a positive impact on the lives of millions of people in Hong Kong / Asia, apply to our opening today!

Information collected will be treated in strict confidence and used solely for recruitment purposes.

The company will retain all applications no longer than 24 months of which will be destroyed thereafter.

We are an equal-opportunity employer. We do not discriminate on the basis of race, sex, disability, or family status in the employment process.