Medical Claims Associate - Open to Fresh Grad and MLT

AIA Shared Services; Sepang; Hybrid; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance services company is seeking a Medical Claims Associate, welcoming fresh graduates and Medical Lab Technologists to apply. The role involves assessing and paying outpatient and inpatient claims for Group policy holders, meeting set quality targets, and ensuring timely communication. Candidates should have knowledge of medical terms and claims processes. Training will be provided, and the office will have a hybrid work arrangement with one day of remote work each week.

Benefits

One day work from home arrangement each week

Training will be provided

Qualifications

• Fresh graduates and Medical Lab Technologists are welcomed to apply.
• Training will be provided for the role.
• Ability to read and write Mandarin Chinese is advantageous.

Responsibilities

• Assess and pay outpatient and inpatient hospitalization claims for Group policy holders.
• Review and pay cases exceeding authority limit.
• Meet quality target, turnaround time, and productivity benchmark.

Skills

Medical terms knowledge

Claims processes understanding

Decision-making skills

Communication skills

Problem-solving skills

Education

Education qualification in Biomedical, Biotechnology, Biochemistry, Health Science, Biology or related fields

Job description

Medical Claims Associate - Open to Fresh Grad and MLT

Responsible to assess and pay the outpatient and inpatient hospitalization claims for Group policy holders as per stipulated requirement and guidelines.

Responsible to review and pay cases that exceed authority limit.

Meet department and individual quality target, turnaround time and productivity benchmark.

Ensure all special account policy is attended and resolved within the agreed timeline.

Communicate closely with 24/7 contact centre and ensure emails are responded timely.

Assisting team members within the team as and when required.

Assist on general administration and any special allocated tasks as and when required.

Seek to understand rationale with facts for better claims analysis.

Requirements

Education qualification in Biomedical, Biotechnology, Biochemistry, Health Science, Biology or related fields

Fresh graduates and Medical Lab Technologists are welcomed to apply, training will be provided.

Sound knowledge of medical terms and claims processes

Ability to read and write Mandarin Chinese will be an added advantage but not a mandatory requirement

Good communication and decision-making skills

Self-motivated and customer-driven

Sound problem solving skill

Additional Notes

Training will be provided

Our office is located in the serene town of Cyberjaya and we'll be moving to Putrajaya in 2026.

1 day work from home arrangement each week

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