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Medical Claims Executive

MXM International Sdn Bhd

Selangor

On-site

MYR 40,000 - 70,000

Full time

3 days ago
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Job summary

A leading healthcare management provider seeks a Medical Claims Executive to manage claims processes and member inquiries. The ideal candidate should possess the necessary medical qualifications, insurance background, and strong communication skills. This role offers opportunities for career growth and various employee benefits, including flexible working hours.

Benefits

Learning opportunities and fast-track career progression
Attractive remuneration based on experience
Company-provided mobile phone
Parking subsidy
Staff group medical coverage
Staff discounts on individual medical
Flexible working hours
Sports and recreational clubs

Qualifications

  • Medical degree or relevant diploma needed.
  • Experience in medical claims and underwriting is preferred.
  • Ability to work independently with minimal supervision.

Responsibilities

  • Timely follow-up and management of pending claims.
  • Assist members with risk selection issues and medical inquiries.
  • Provide administrative support and process claims documents.

Skills

Proficiency in English
Proficiency in Mandarin
Good communication skills
Interpersonal skills
Customer engagement skills
Multitasking skills
Attention to detail

Education

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

Job description

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Timely follow-up and follow-up on pending cases for proper closure.

Assist members with risk selection issues.

Handle Letter of Acceptance, redeclaration, and all medical inquiries regarding medical policies.

Handle inquiries from internal and external parties within the targeted turnaround time.

Provide administrative support such as filing, copying, distribution, scanning, and collating general information.

Process claims documents (scanning, checking, tagging, and data entry).

Generate reports on pending underwriting issues.

Perform any other duties as assigned by the supervisor.

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 is preferred
  • Proficiency in English and Mandarin
  • Ability to work independently with minimal supervision
  • Good communication, interpersonal, and customer engagement skills
  • Service-oriented with multitasking skills
  • Meticulous with keen attention to detail to minimize errors
What do we provide?
  • Learning opportunities and fast-track career progression
  • Attractive remuneration based on experience and qualifications
  • Company-provided mobile phone
  • Parking subsidy
  • Strong team spirit and a happy, fun workplace
  • Open communication at all levels with an "Acknowledge-Connect-Engage" culture
  • Additional benefits: Staff group medical coverage, staff discounts on individual medical, term life, and PA coverage, flexible working hours, sports and recreational clubs
How do your skills match this job?

Sign in and update your profile to get insights. Your application will include questions about your expected salary, years of experience as a Medical Claims Executive, and customer service experience.

Established since 1998, MXM International Sdn Bhd (MXM), a member of the Malaysian Direct Distribution Association (MDDA), is a major provider of healthcare management and medical protection, committed to meeting evolving consumer needs.

Part of Kam Holdings conglomerate and associated with PATHLAB, MXM has over 60,000 members across Malaysia, led by Group President and CEO Dato’ Marcus Kam.

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