CLAIMS EXECUTIVE / ASSISTANT

Administrative Assistants (Administration & Office Support)

Full time

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JOB SCOPE (Major Responsibilities of this job)

• To adjudicate claims for admission, outpatient and major claims.
• Compile supporting documents as attachment (including police report for MVA and assault claims) with each claim submission to relevant clients
• Prepare claims borderaux for submission to client/ Finance Department together with the complied supporting documents
• Ensure timely submission of claims and monitor closely on claims settlement timeline.
• Prepare performance report & productivity report as required
• Attend to inquiries with regards to claims operating procedures at CompuMed

JOB SPECIFICATION

• Degree in any related field (Medical Science, Nursing, Insurance, etc)
• Passed Insurance professional examination such as ICA and FLMI would be an advantage
• Experience in claims adjudication is an advantage
• Working experience in healthcare, insurance or similar capacity
• High level of work commitment and strong sense of responsibility
• Good understanding of medical insurance policies and it application is an added advantage
• Good spoken and written communication skills in Bahasa Malaysia & English
• Those with medical/life insurance claims, hospital services, and clinical services experience
• Knowledge of insurance/medical terminologies and insurance policy.
• Communication and interpersonal skills.
• Computer Literate
• Working experience in TPA, insurance or healthcare industry

Your application will include the following questions:

How many years' experience do you have as a Project Executive?

What's your expected monthly basic salary?

Which of the following Microsoft Office products are you experienced with?

Which of the following languages are you fluent in?

Are you willing to undergo a pre-employment background check?

How much notice are you required to give your current employer?

We are an established business process outsourcing (BPO) provider specializing in individual and corporate employee healthcare benefit administration and management services. We seek to recruit service-oriented individuals to deliver excellent customer service and innovative solutions to our clients.

Our Vision

- To see Malaysia develop into a participative health caring culture where every citizen contributes, cares for each other and is assured of a universal health benefits for life.

Our Mission

- To contribute towards and promote participative health caring culture in Malaysia by offering the best healthcare demand and supply chain management services and setting benchmark for healthcare customer servicing.

We are an established business process outsourcing (BPO) provider specializing in individual and corporate employee healthcare benefit administration and management services. We seek to recruit service-oriented individuals to deliver excellent customer service and innovative solutions to our clients.

Our Vision

- To see Malaysia develop into a participative health caring culture where every citizen contributes, cares for each other and is assured of a universal health benefits for life.

Our Mission

- To contribute towards and promote participative health caring culture in Malaysia by offering the best healthcare demand and supply chain management services and setting benchmark for healthcare customer servicing.

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