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Claims Executive

4 weeks ago

Kuala Lumpur, Kuala Lumpur, Malaysia Pra Assist Medical Network Sdn Bhd Full time

This job is processing medical claims and payments, liaising with healthcare providers, and maintaining insurance info. You might like this job because it involves reviewing claims, determining coverage, and processing payments efficiently.

RM 2700 - RM 5000

Full-Time

Job Description
  • Data processing of medical claims and claims payments
  • To liaise with panel healthcare providers on necessary documentation.
  • Reviewing claim submissions and verifying the information.
  • Recording and maintaining insurance policy and claims information in a database system.
  • Determining policy coverage and calculating claim amounts.
Job Requirements
  • Fresh graduates are encouraged to apply
  • Proficiency in Bahasa Malaysia and English (both verbal and written)
  • Able to do shift work
  • Good administrative and organizational skills.
  • Ability to work under pressure.
  • High attention to detail.
Skills
  • Claims Processing
  • Medical Insurance Claims
  • Claims Investigations
  • Claims And Litigation Management
  • Medication Administration
  • Administrative Support
  • Customer Service
  • Customer Support
  • Business Administration
Company BenefitsTime Off

Feeling under the weather? We provide Annual Leave and Medical Leave for your well-being.

Monetary Rewards

Your task achievement will be rewarded with Incentives, Commissions, and Performance Bonus

Career Progressions

In our fast-paced working environment, we acknowledge your hard work and support by providing a career path for your future.

Training is Provided.

No Experience? No problem We provide in-house training to make sure you are ready before you start.

Work Life Balance.

Only 5 days work. Work Smart to earn handsome work results

Teamwork Culture

We support and thank each other and win together as a Team

Additional InfoCompany Activity

Last active - 1 hour ago

Experience Level

#NoExperienceNeeded

Junior Executive

Job Specialisation

Clerical, Administrative & Secretarial, Customer Service, HR Operations (Payroll, Admin, Office Management)

Company ProfilePra Assist Medical Network Sdn Bhd

Welcome to Pra Assist Medical Network Sdn Bhd, a leading Third Party Claim Administrator (TPCA) dedicated to streamlining and enhancing health scheme management on behalf of Insurance Providers and other esteemed organizations. Our innovative approach, coupled with cutting-edge technology, ensures seamless policy management and hassle-free claim processing.

Who We Are:

At Pra Assist, we are a team of dynamic professionals with a deep-rooted understanding of the healthcare and insurance landscape. Our mission is to simplify health scheme management, making it more efficient, transparent, and accessible for both policyholders and stakeholders alike.

What We Do:

We specialize in providing comprehensive third-party administration services for a diverse range of health schemes. Our expertise spans across various policy types, from medical insurance to employee health benefits. We take pride in managing every aspect of policy administration, ensuring a smooth and seamless experience for all parties involved.

Our Services Include:

  • Policy Management Solutions: We offer a state-of-the-art online platform that allows Insurance Providers and organizations to manage health schemes effortlessly. Our platform provides real-time policy information, simplifying enrollment, renewal, and modifications.
  • Claims Processing: Our streamlined claims processing system ensures quick and accurate claim settlements. We utilize advanced technology to minimize processing time while maintaining rigorous quality control measures.
  • Customer Support: Our dedicated customer support team is readily available to address policyholders' inquiries, ensuring they have a clear understanding of their coverage, benefits, and claim procedures.
  • Data Analytics: We harness the power of data analytics to provide actionable insights to Insurance Providers and organizations. Our comprehensive reports help in optimizing policy offerings and improving overall scheme performance.
  • Transparency and Compliance: We prioritize transparency in our operations and ensure compliance with industry regulations. Our platform provides clear policy terms, easy-to-understand coverage details, and accurate claims documentation.

Why Choose Us:

  • Efficiency and Accuracy: Our cutting-edge technology and meticulous process management ensure efficient and accurate policy administration and claims processing, minimizing delays and errors.
  • Customer-Centric Approach: We place the policyholders at the core of our operations. Our user-friendly platform and responsive customer support ensure a positive and hassle-free experience.
  • Tailored Solutions: We understand that each health scheme is unique. Our flexible approach allows us to tailor our services to meet the specific needs and goals of Insurance Providers and organizations.
  • Innovation and Technology: We continuously invest in technology to bring innovation to health scheme management. Our platform's user-friendly interface and robust features set new standards for ease of use and functionality.
  • Partnering for Success: We consider ourselves partners in our clients' success. Our collaborative approach and proactive solutions ensure that health schemes are managed efficiently and effectively, contributing to client satisfaction and growth.

Simplify Health Scheme Management with Pra Assist:

Experience a new era of health scheme management where efficiency meets innovation. At Pra Assist Medical Network Sdn Bhd, we're committed to simplifying policy administration, enhancing claim processing, and providing a seamless experience for all stakeholders. Join us in transforming the landscape of health scheme management and unlock the benefits of transparent, efficient, and customer-centric services.

Your policies, our expertise – united for success.

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