Medical Claims Executive

MXM International Sdn Bhd; Petaling Jaya; On-site; MYR 40,000 - 65,000; Full time

Benefits offered by this job

Company handphone

Parking subsidy

Staff medical coverage

Staff discount

Flexible working hours

Job summary

MXM International Sdn Bhd is seeking a Medical Claims Executive to coordinate medical documentation, follow up on cases, and manage administrative tasks. The role requires handling medical-related inquiries and providing timely support to internal and external stakeholders.

Applicants should hold a MBBS/MD or nursing/bioscience diploma, with English and Mandarin proficiency. The position offers flexible hours and opportunities for growth within a healthcare-focused environment.

Qualifications

• Must have medical education (MBBS/MD or nursing/bioscience diploma).
• Excellent communication with diverse clients and stakeholders.

Responsibilities

• Support end-to-end coordination of medical documentation and case follow-up.
• Handle medical documentation including Letters of Acceptance and redeclarations.
• Respond to inquiries from internal departments and external stakeholders within turnaround times.
• Provide general administrative support (filing, scanning, data entry).
• Generate and track pending applications for action.
• Engage with customers professionally to provide resolutions.
• Provide after-hours/weekend support for hospital admission coordination.

Skills

Communication

Multitasking

Customer service

Empathy

Education

MBBS/MD

Diploma in Nursing/Bioscience

Job description

The Medical Claims Executive is responsible for supporting the end-to-end coordination of medical documentation, case follow-up, and administrative tasks to ensure smooth operations and timely service delivery. This role involves managing medical-related enquiries, handling documentation, and providing accurate and efficient support to both internal and external stakeholders. The position requires strong organizational skills, attention to detail, and the ability to work within defined turnaround times.

Job Descriptions:

• Conduct timely follow-ups on pending cases to ensure proper updates and closure.
• Assist members in addressing and resolving risk-related or eligibility matters.
• Handle various medical documentation including Letters of Acceptance, redeclarations, and general medical-related enquiries.
• Respond to enquiries from both internal departments and external stakeholders within the agreed turnaround time.
• Provide general administrative support including filing, copying, scanning, distribution, and collating of information.
• Process medical documents such as scanning, checking, tagging, and data entry to ensure accurate records are maintained.
• Generate and track pending applications/cases or case review issues for further action.
• Engage professionally with customers, demonstrating empathy and ensuring appropriate resolutions are reached
• Provide after-hours and weekend support for hospital admission coordination as needed.
• Participate in public speaking engagements or presentations to increase awareness and understanding of medical-related services
• Perform any other tasks or assignments as delegated by the supervisor to support team operations.

What will you need for this role?

Doctor/Medical Degree (MBBS/ MD)/ Diploma in Nursing/ Bioscience or equivalent

Insurance background in Health/ Accident

Experience in medical claims and underwriting are welcomed to apply

Good in English & Mandarinto effectively communicate with our diverse client base and stakeholders.

Able to work independently and under minimum supervision

Good communication, interpersonal and customer engagement skills

Service-oriented and multitasking skills

Meticulous with keen attention to details to minimize error occur in submission of form

What do we provide?

Learning opportunity, and fast-tract career progression awaits the right candidate

Attractive remuneration commensurate with experience and qualification

Company handphone

Parking subsidy

Strong team spirit “all-for-one”, and Happy & Fun work place

Open communication at all level, and we practice - "Acknowledge-Connect-Engage"

Other benefits: Staff Group Medical coverage, staff discount for Individual Medical, Term Life and PA coverage, Flexible working hours, Sports and Recreational Club etc

Established since 1998, MXM International Sdn Bhd (MXM), a member of Malaysian Direct Distribution Association (MDDA) has today positioned itself as one of the major players in providing quality healthcare management and medical protection. Determined to provide only the best healthcare protection to meet the ever evolving consumer needs

Being a part of Kam Holdings conglomerate and associate company of PATHLAB, MXM has to-date more than 60,000 members throughout Malaysia and growing under the direction of its Group President and C.E.O. Dato’ Marcus Kam.

Established since 1998, MXM International Sdn Bhd (MXM), a member of Malaysian Direct Distribution Association (MDDA) has today positioned itself as one of the major players in providing quality healthcare management and medical protection. Determined to provide only the best healthcare protection to meet the ever evolving consumer needs

Being a part of Kam Holdings conglomerate and associate company of PATHLAB, MXM has to-date more than 60,000 members throughout Malaysia and growing under the direction of its Group President and C.E.O. Dato’ Marcus Kam.