Medical Claims Specialist

Integrated Health Plans Sdn Bhd; Bayan Lepas; On-site; MYR 33,000 - 51,000; Part time

Job summary

Integrated Health Plans Sdn Bhd in Penang is seeking a contract Claims Processor to review, assess and adjudicate medical claims within the agreed turnaround time and guidelines.

You will key claim information into the system, handle inquiries, provide updates, and generate payment reports while supporting the claim team. 6-month contract with attention to detail and strong English and MS Office skills.

Qualifications

• Good communication, interpersonal and customer engagement skills.
• Good command of English (written and spoken).
• Proficient in MS Office and have good IT knowledge.
• Initiative, Responsive, Responsible and Disciplined.
• Service-oriented, good team player and able to multi-task.
• Meticulous with keen attention to details.
• Claims processing experience/knowledge is an advantage.

Responsibilities

• Review, assess and approve medical claims accurately within the agreed targeted service turnaround time and respective client/insurer claims adjudication guidelines & practices
• Keying in of claim information into the system
• Attend to claims investigation and provide findings/chronological updates
• Timely follow-up & follow-up on pending cases for proper closure
• Handle enquiries from internal and external parties within the agreed targeted turnaround time
• Provide admin support to the claim team
• Generation of payment report
• Perform any ad-hoc task/assignment as required

Skills

Communication skills

English proficiency

MS Office

Initiative

Team player

Attention to detail

Multi-tasking

Tools

MS Office Suite

Job description

Integrated Health Plans Sdn Bhd in Penang is seeking a contract Claims Processor to review, assess and adjudicate medical claims within the agreed turnaround time and guidelines.

You will key claim information into the system, handle inquiries, provide updates, and generate payment reports while supporting the claim team. 6-month contract with attention to detail and strong English and MS Office skills.