Insurance Claim Specialist
1 week ago
Position :
Insurance Claim Specialist
Tenure : 1 year contract ( Immediate Hiring)
Working Hour :
Standard
Working location :
Jalan Duta
Salary :
RM RM 7000
Job Responsibilities:
- Receive, validate, and manage new claims.
- Review and approve claims within authority limits, preparing files for presentation to capacity partners for significant losses.
- Respond to client inquiries and conduct diary followups.
- Validate claims for thirdparty schemes and establish proof of loss by analyzing medical documentation and conducting investigations.
- Document all actions related to medical claims and resolve them by approving or denying documentation, calculating benefits, and initiating payments or composing denial letters.
- Maintain quality customer service by adhering to company practices and promptly addressing customer inquiries.
- Prepare monthly reports summarizing claim information.
- Stay updated with industry knowledge through educational opportunities and professional organizations.
- Ensure compliance with company policies, procedures, and regulatory requirements, including FCA regulations.
Job Requirement
- Bachelor's Degree and 5 or more years of experience in the Claims
- High level of communications and interpersonal skills with practical Insurance knowledge. Good teamwork, ability to keep pace with new developments and proactive selfstarter
Job Type:
Contract
Contract length: 12 months
Pay:
RM6, RM7,000.00 per month
Schedule:
- Monday to Friday
-
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