Insurance Claim Specialist

1 week ago


Kuala Lumpur, Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

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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