Senior Claims Executive

3 days ago


Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

Location: OUG Parklane, Malaysia
Job Titles: Junior Claims Executive / Senior Claims Executive

Job Summary

The Senior Claims Executive will additionally handle complex cases, mentor junior staff, and support claims process improvements.

Key Responsibilities

  • Handle complex or high-value claims, providing in-depth analysis and investigation as necessary.
  • Review and approve claims processed by junior staff, ensuring accuracy and adherence to company policies.
  • Mentor and train junior Claims Executives on claims handling procedures and best practices.
  • Collaborate with management to implement process improvements and develop streamlined claims workflows.
  • Conduct periodic audits of claims to ensure compliance with industry regulations and internal standards.
  • Act as a primary point of contact for escalated claims issues, working closely with healthcare providers, insurers, and clients to resolve disputes.

Key Requirements

Education and Experience:

  • Diploma or bachelor's degree in healthcare, Business Administration, Finance, or related field.
  • Senior Claims Executive: 3-5 years of experience in healthcare claims processing, with exposure to complex claims management and team leadership.
  • Familiarity with healthcare claims systems and regulations is preferred.

Skills:

  • Strong attention to detail and accuracy in reviewing and processing claims.
  • Excellent communication skills, with the ability to handle sensitive healthcare and financial information confidentially.
  • Proficiency in MS Office Suite, especially Excel, for record-keeping and reporting.
  • Analytical thinking and problem-solving abilities, especially for handling complex claims (Senior role).
  • Ability to work effectively in a fast-paced environment, with strong time management skills.

Attributes:

  • Customer-oriented with a professional demeanor in handling claims inquiries.
  • Proactive and adaptable, with a commitment to continuous improvement.
  • Leadership qualities, including the ability to mentor and guide junior staff.

Benefits

  • Competitive salary package with performance-based incentives.
  • Comprehensive health and wellness benefits.
  • Opportunities for professional growth and development.
  • Supportive work environment focused on innovation in healthcare services.
#J-18808-Ljbffr

  • Petaling Jaya, Selangor, Malaysia TIME's group Full time

    Senior or Claims Executive (Commercial Lines)The Senior/Claims Executive is a crucial role in a company by evaluating insurance claims to ensure their validity and determining the appropriate compensation. They help maintain the company's financial stability and reputation by providing fair and accurate claim assessments. Additionally, they contribute to...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    Location: OUG Parklane, MalaysiaJob Titles: Junior Claims Executive / Senior Claims ExecutiveJob SummaryAs a Claims Executive at, you will play a vital role in processing healthcare claims accurately and efficiently. You will ensure all claims are handled in compliance with company policies and healthcare regulations, liaise with healthcare providers and...

  • Senior Executive

    7 days ago


    Petaling Jaya, Selangor, Malaysia TIME's group Full time

    About the RoleWe are seeking an experienced Claims Executive to join our team at TIME's group. The ideal candidate will have a strong background in claims assessment, with excellent analytical and communication skills.Main Responsibilities:Manage multiple lines of claims, including Work Injury, Motor, Property, Casualty, Bonds, Marine, and Cyber.Process...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    About Sperton Global ASWe pride ourselves on delivering innovative healthcare solutions that meet the evolving needs of our customers.The Senior Claims Executive role is an exciting opportunity to join our team and contribute to our mission of excellence in healthcare services. As a key member of our claims department, you will have the chance to make a...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    About Our Company CultureWe value diversity, equity, and inclusion in all aspects of our business, striving to create a work environment that supports the well-being and success of our employees.This role offers an exciting opportunity to join our team and contribute to our mission of delivering exceptional healthcare services. As a Senior Claims Executive,...

  • Claims Professional

    7 days ago


    Petaling Jaya, Selangor, Malaysia TIME's group Full time

    Job OverviewThe Senior or Claims Executive plays a pivotal role in evaluating insurance claims, ensuring their validity and determining appropriate compensation.This crucial position contributes to the company's financial stability and reputation by providing fair and accurate claim assessments. Additionally, it fosters customer satisfaction through a smooth...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    About Sperton Global ASWe are a leading provider of innovative healthcare services, committed to delivering exceptional patient outcomes.As a Senior Claims Executive at Sperton Global AS, you will play a critical role in ensuring the smooth operation of our claims process. Your expertise and leadership skills will be instrumental in mentoring junior staff...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    In this role as Medical Claims Processor Senior at Serton Global AS, you will be responsible for reviewing and settling medical claims. Your primary goal will be to ensure that all claims are processed accurately and efficiently.Main Responsibilities:Review medical claims for accuracy and completenessCollaborate with healthcare providers and insurance...


  • Petaling Jaya, Selangor, Malaysia Suntory Holdings Limited Full time

    Requisition ID: 9339Our CommitmentAt Suntory, we recognize that diverse knowledge, perspectives, and backgrounds contribute to our collective success. We are committed to fostering a diverse, equitable, and inclusive workplace, where all individuals have a sense of belonging and can bring their whole selves to work every day, regardless of race, color,...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    Job Title: Executive Medical ClaimAt Sperton Global AS, we are seeking an Executive Medical Claim professional to join our team.We are looking for someone with a strong background in medical claims processing and a passion for delivering exceptional results. As an Executive Medical Claim, you will be responsible for processing...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    Serton Global AS seeks a results-driven Medical Claims Specialist to join our team. In this role, you will be responsible for managing and resolving complex medical claims.Key Responsibilities:Manage and resolve medical claims from initiation to final settlementCollaborate with cross-functional teams to resolve claim-related issuesRequirements:Degree in a...


  • Petaling Jaya, Selangor, Malaysia TIME's group Full time

    Job DescriptionWe are looking for an experienced Claims Executive to manage all aspects of claims handling. The successful candidate will have a proven track record in claims assessment, with excellent analytical and communication skills.Main Responsibilities:Manage multiple lines of claims, including Work Injury, Motor, Property, Casualty, Bonds, Marine,...


  • Petaling Jaya, Selangor, Malaysia TIME's group Full time

    About the PositionWe are seeking an experienced Claims Executive to join our team at TIME's group. The ideal candidate will have a strong background in claims assessment, with excellent analytical and communication skills.Main Responsibilities:Manage all lines of claims, including Work Injury, Motor, Property, Casualty, Bonds, Marine, and Cyber.Process...


  • Petaling Jaya, Selangor, Malaysia BTI Executive Search Full time

    About Us">BTI Executive Search is a leading executive search firm specializing in placing senior-level professionals in various industries, including retail, hospitality, and construction.Job Description:">We are seeking a Senior Public Relations Manager to join our team. The ideal candidate will have a strong background in corporate communications, public...


  • Petaling Jaya, Selangor, Malaysia Christy Ng Sdn Bhd Full time

    We are seeking a Strategic Financial Lead to join Christy Ng Sdn Bhd's team. As a Senior Finance Executive, you will oversee financial operations, prepare financial statements, and communicate with stakeholders. This role offers opportunities for career growth and development in a dynamic business environment.ResponsibilitiesManage Daily Financial...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    About This Opportunity:We are seeking an Executive Medical Claim professional to join our team at Sperton Global AS.This is an exciting opportunity to work in a dynamic environment and contribute to the growth and success of our organization.Key Responsibilities:Claims Processing:Process medical claims from inception to finalization.Liaise with stakeholders...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    Join Our Team:Sportun Global AS invites highly motivated and experienced professionals to apply for the position of Executive Medical Claim.This role offers an exciting opportunity to work with a dynamic team and contribute to the growth and success of our organization.Key Responsibilities:Claims Processing:Process medical claims efficiently and...


  • Petaling Jaya, Selangor, Malaysia Hiredly X Full time

    Hiredly X is seeking a Senior Accounting Executive to lead our finance team. In this role, you will be responsible for managing various aspects of the company's finances, including accounts receivable, accounts payable, and financial reporting.The ideal candidate will have a strong background in accounting and finance, with excellent analytical and...


  • Petaling Jaya, Selangor, Malaysia Sperton Global AS Full time

    About Sperton Global AS:Sportun Global AS is a reputable organization in the industry, committed to providing exceptional services to our clients.We are currently seeking an Executive Medical Claim professional to join our team and contribute to our mission.Role Description:Responsibilities:Process medical claims from inception to finalization.Liaise with...


  • Petaling Jaya, Selangor, Malaysia Career Horizons Full time

    Company OverviewA well-established International Real Estate Company that is a strong player in its industry and has presence globally. They are looking to bring on board a few excellent Senior Account Executive to support their team in Petaling Jaya.Job Description:Posting entries, reconciling accounts payable and receivable, and handling...