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Claims and Admin Executive
3 months ago
Update claims status on internal system and platform
Communicate with clients and handle enquiries on insurance coverage, claims, pre-authorization, etc.
Liaise with insurance partners, clinics/hospitals, third-party administrators on claims matters
Support on claims administration of individual and corporate policies
Handle assigned accounts by ensuring policy administrative matters (census management, endorsements, invoices, etc) are attended in a timely manner
Prepare renewal data for submission to insurer & client
Upload employee movements (addition / changes / deletions) in portal and inform insurers within TAT
Liaise with underwriters on underwriting requirements & upload insurer's decision in portal
Handle appeals/escalations from client (HR/employee) on medical underwriting with Account Managers
Investigate on the production incident and provide detailed report for manager review. Feedback requirement on process or system changes to improve operational efficiencies
Handle of daily exception report from data upload; prepare reports for client as required
Ensure compliance with regulatory standards, company policy and guidelines
Data entry into internal system, ensuring accuracy at all times
Maintain client confidentiality and compliance requirements
Any other duties and responsibilities that may be delegated from time to time
Job Types:
Full-time, Permanent
Pay:
RM2, RM6,000.00 per month
Benefits:
- Health insurance
- Opportunities for promotion
- Professional development
Schedule:
- Monday to Friday