Senior Health Claims Operations Leader

Chubb Ltd.; Malaysia; On-site; MYR 40,000 - 60,000; Full time

Job summary

Chubb Ltd. is looking for a dedicated professional to manage best practice claims operations in Malaysia. The role involves oversight of hospitalisation and surgical claims, ensuring compliance, and liaising with stakeholders.

Key responsibilities include claims assessment, payment processing, and performance monitoring of service providers. The candidate will maintain constant communication with management and underwriting teams and participate in various projects as assigned.

Responsibilities

• Assessment of Group and Individual hospitalisation and surgical claims.
• Auditing cashless claims for hospitalisation and surgical claims.
• Overseeing payment processing for bordereaux medical claims.
• Performing sanctions checks on claims compliance.
• Monitoring performance of the appointed TPA.
• Maintaining communication with management and underwriting teams.
• Providing feedback on claims trends.
• Conducting reviews of aging files.
• Participating in Ad Hoc projects or tasks.

Job description

Chubb Ltd. is looking for a dedicated professional to manage best practice claims operations in Malaysia. The role involves oversight of hospitalisation and surgical claims, ensuring compliance, and liaising with stakeholders.

Key responsibilities include claims assessment, payment processing, and performance monitoring of service providers. The candidate will maintain constant communication with management and underwriting teams and participate in various projects as assigned.