Medical Claims Executive

MXM International Sdn Bhd; Selangor; On-site; MYR 40,000 - 70,000; Full time

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?

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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.