Medical Claims Specialist - Detail‑Oriented & Efficient

PMCare; Subang Jaya; On-site; MYR 40,000 - 60,000; Full time

Job summary

A health insurance company in Subang Jaya is seeking a diligent Medical Claims Executive to manage the processing of insurance claims. Responsibilities include reviewing medical claims, providing excellent customer service, and ensuring accurate documentation. Ideal candidates should have a Bachelor's degree in Medicine or relevant field and 2 years of medical claims experience. The role offers competitive compensation and career development opportunities in a supportive work environment.

Benefits

Competitive compensation

Opportunities for career development

Employee benefits

Qualifications

• Minimum 2 years of experience in medical claims processing or a related field.
• Technical knowledge of medical claims or relevant experience in TPA/Insurance Industry is advantageous.
• Familiarity with medical terminology and insurance regulations.

Responsibilities

• Review medical claims and supporting documentation for accuracy.
• Respond to internal department emails seeking medical advice.
• Provide excellent customer service to stakeholders.

Skills

Attention to detail

Data entry skills

Communication skills

Interpersonal skills

Education

Bachelor’s Degree in Medicine (MBBS) or Professional Certificate in Medical/Nursing/Pharmacy/Insurance

Tools

Microsoft Office Suite (Word, Excel, Outlook)

Job description

A health insurance company in Subang Jaya is seeking a diligent Medical Claims Executive to manage the processing of insurance claims. Responsibilities include reviewing medical claims, providing excellent customer service, and ensuring accurate documentation. Ideal candidates should have a Bachelor's degree in Medicine or relevant field and 2 years of medical claims experience. The role offers competitive compensation and career development opportunities in a supportive work environment.