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Claims Officer / Executive (Bayan Lepas, Penang)
Job summary
A healthcare insurance provider is looking for a Claims Processor in Penang to review and approve medical claims within targeted turnaround times. Key responsibilities include keying in claim information, investigating claims, and handling enquiries from various parties. The ideal candidate has good communication skills, is proficient in MS Office, and can multi-task. Entry level candidates are welcome to apply, making this a great opportunity for new graduates eager to enter the healthcare industry.
Qualifications
- Entry level candidates are welcome to apply.
- Claims processing experience or knowledge is an advantage.
- Good command of English, both written and spoken.
Responsibilities
- Review and approve medical claims accurately.
- Key in claim information into the system.
- Investigate claims and provide updates.
- Handle enquiries from internal and external parties.
- Provide admin support to the claims team.
Skills
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
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
Entry level are welcome to apply
Claims processing experience/knowledge is an advantage
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