We are on the lookout for a resourceful Insurance Medical Claims Approver (No exp. is require with Relevant background) to join our innovative team at Private Advertiser in Cyberjaya, Selangor.
Growing your career as a Full time Insurance Medical Claims Approver (No exp. is require with Relevant background) is an awesome opportunity to develop exceptional skills.
If you are strong in presentation, emotional intelligence and have the right experience for the job, then apply for the position of Insurance Medical Claims Approver (No exp. is require with Relevant background) at Private Advertiser today!
Process authorized claims transactions within the required benchmarks for Hong Kong market based on guidelines set for the issuance of insurance policies.
Job Responsibilities:
- Process all Life / Accident and Health (A&H) / Major Claims / Corporate Solutions (CS)/ Pre Approval (PA) claims requests received as per stipulated requirements.
- Evaluate and gather all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim system.
- Ensure meeting individual quality, turnaround time and productivity benchmark.
- Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements.
- Prepares regular reporting to management on metrics relating to business, operations, risk, compliance, workforce, etc. or statutory authorities on regulatory metrics.
- Develop procedures for reporting, extract, collate and populate data to reporting template.
- Validate data accuracy and liaise with relevant parties to rectify data quality.
Job Requirements:
- Open to Fresh Graduate, experienced Medical Claims Assessor OR experienced candidate from Lab, Nurse, and Doctor, Food Science, Nutrition, Physiotherapist and Pharmacist.
- A recognized tertiary Diploma / Bachelor’s Degree in Biology, Biotechnology, and Medical Science, Social Science, Business Management or equivalent qualifications for fresh graduate.
- Fluent in spoken English & Chinese. Candidate with proficiency to converse in Mandarin / Cantonese would be an added advantage. Passing SPM Chinese subject is a MUST.
- Self-motivated and customer orientated.
- Time management skills.
- Computer literate in Microsoft Office.
- Good commitment at work, good attitude, willing to learn.
- Able to adapt desk-bound working environment, rotational basis working on weekend & able to work overtime beyond normal office hour (including weekend & public holiday).
- The role is required to follow Hong Kong working calendar.
Working day: Monday - Friday (1 day WFH per week)
Working hour: 8.30am - 5.30pm
Remuneration Package:
- Basic is up to RM7,000 depend on experience and qualification
- RM450 transportation allowance (fixed)
- Technical allowance (depends on authority limit)
- Insurance & Medical Coverage including dependent (based on Job Function Level)
- 18 days annual leave
- 14 days medical leave
- 1 day birthday leave
- Floating leave (Depend supporting country)
- 16% Employer EPF
- OT is Claimable
- Dental & Optical RM800 per annum
- Wedding Leave*
- Hospitalization Leave*
- Maternity/Paternity Leave*
- Exam Leave*
- Compassionate Leave*
- Education Support*
- Performance bonus and salary review in March
*Subject to internal policy and conditions
Benefits of working as a Insurance Medical Claims Approver (No exp. is require with Relevant background) in Cyberjaya, Selangor:
● Excellent Benefits Package
● Continuous Learning Opportunities
● Leading Industry Pay
Salary :
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