Senior Health Claims Adjudicator – 24/7 Ops

Allianz; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance provider is seeking an Executive - Claims Adjudicator for their 24/7 Cashless Administration team in Kuala Lumpur. The ideal candidate will assess and process health claims efficiently while ensuring customer satisfaction. Applicants should have a diploma or degree in medical or health sciences with a minimum of 2–3 years' experience in the healthcare industry. Strong communication skills in English and Bahasa Malaysia are also required, along with the ability to work independently in a fast-paced environment.

Qualifications

• Minimum 2–3 years working experience in the healthcare industry.
• Able to work independently in a 24/7 fast-paced environment.
• Command of spoken and written English and Bahasa Malaysia.

Responsibilities

• Assess and process health/medical claims in line with policy guidelines.
• Manage day-to-day 24/7 operations for guarantee facilities.
• Respond to customer enquiries on claim reimbursement matters.

Skills

Good communication skills

Attention to detail

Result-oriented

Teamwork

Education

Diploma/Degree in medical or health science

Tools

AI tools like ChatGPT or Copilot

Job description

A leading insurance provider is seeking an Executive - Claims Adjudicator for their 24/7 Cashless Administration team in Kuala Lumpur. The ideal candidate will assess and process health claims efficiently while ensuring customer satisfaction. Applicants should have a diploma or degree in medical or health sciences with a minimum of 2–3 years' experience in the healthcare industry. Strong communication skills in English and Bahasa Malaysia are also required, along with the ability to work independently in a fast-paced environment.