Claims Processor- Usp Claims Management Specialist

5 months ago


Petaling Jaya, Malaysia IT Business Solutions Sdn Bhd Full time

**Position: USP Claims Management Specialist**

**Headcount: 1**

**Contract Duration: 12 months**

**Location: CD Tower, PJ**

**Experience: 1 to 3 years**

**Mandatory Requirements**:

- Claim Management.
- Stakeholder Management.
- Good Communication skills.
- Flexible to work on weekend to support ad-hoc request from MCMC.

**USP Claims Management Specialist**

**Responsibilities /Accountabilities**:

- Must understand the entire end to end USP claims management process and ability to perform claims process as per process documentation.
- To demonstrate problem solving capabilities in resolving issues and providing solutions.
- Liaise with vendor, MCMC, auditor and cross functional teams such as USP management team and Network teams.
- To share feedback with relevant teams and report issues proactively.
- Sharing process improvement ideas through available platforms or other forums.
- Support Head of Unit in updating documentation on regular basis.
- Support ad-hoc requests.
- Suggest Control Framework for non-compliance and audit findings.

**Requirements**:

- Degree in Accounting, Finance or other related fields
- Minimum 1 year of experience in Finance
- Experience working in a medium/large organization.
- Accounting system experience - knowledge of SAP, Oracle and Coupa would be an advantage.
- Excellent knowledge of Finance process & systems
- Excellent data analytical skill
- Advanced computer skills with demonstrated knowledge of Microsoft Excel and PowerPoint.
- Ability to analyze, identify trends and decide on appropriate action to minimize risk.
- Ability to work independently with mínimal supervision.
- Ability to identify and escalate systemic issues and propose solutions.
- Ability to provide recommendations for automation and improvements.
- Strong verbal and written communication skills.
- Good interpersonal skills and can interact with all levels of people.

**Job Types**: Full-time, Contract
Contract length: 12 months

Pay: RM2,800.00 - RM3,500.00 per month

**Benefits**:

- Dental insurance
- Flexible schedule
- Health insurance
- Maternity leave
- Opportunities for promotion
- Parental leave
- Professional development
- Vision insurance

Schedule:

- Monday to Friday

Supplemental pay types:

- Overtime pay



  • Petaling Jaya, Malaysia Elabram Full time

    Job Description - Must understand the entire end to end USP claims management process and ability to perform claims process as per process documentation. - To demonstrate problem solving capabilities in resolving issues and providing solutions. - Liaise with vendor, MCMC, auditor and cross functional teams such as USP management team and Network teams. - To...


  • Subang Jaya, Malaysia Elabram System Full time

    Must understand the entire end to end USP claims management process and ability to perform claims process as per process documentation. - To demonstrate problem solving capabilities in resolving issues and providing solutions. - Liaise with vendor, MCMC, auditor and cross functional teams such as USP management team and Network teams. - To share feedback...

  • Claims Managament

    5 months ago


    Petaling Jaya, Malaysia Elabram Systems Full time

    Must understand the entire end to end USP claims management process and ability to perform claims process as per process documentation. - To demonstrate problem solving capabilities in resolving issues and providing solutions. - Liaise with vendor, MCMC, auditor and cross functional teams such as USP management team and Network teams. - To share feedback...

  • Claim Specialist

    5 months ago


    Petaling Jaya, Malaysia AXA Partners, Asia Assistance Network Full time

    **ABOUT THE COMPANY**: Located in the heart of Petaling Jaya, Malaysia, **Asia Assistance Network (M) Sdn. Bhd.** has emerged as Malaysia’s leading assistance service provider and third party administrator as well as earned a global reputation as Asia’s top medical assistance provider. Founded in 1998, we are based in Petaling Jaya, Malaysia with offices...

  • Claims Analyst, Asia

    5 months ago


    Petaling Jaya, Malaysia QBE Insurance Full time

    **Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for...


  • Petaling Jaya, Malaysia Across Asia Assist (M) Sdn Bhd Full time

    **Job Overview** Greeting from AAA !! This team is designated to support the Claims Department of a US based client (On Call International). For more than two decades, On Call International, a leading provider of travel risk management and travel assistance services, has helped millions of people with their travel problems, big and small. From serious...


  • Petaling Jaya, Malaysia Recruit Express Service Sdn Bhd Full time

    **Responsibilities**: - Investigate and resolve all types of claims in a technically excellent manner ensuring they are settled at optimum costs. - Ensure that claims are calculated correctly. - Identify and investigate coverage issues to ensure that the Company’s liability is in line with contractual commitments. - Manage disputed claims and other...


  • Petaling Jaya, Malaysia QBE Insurance Group Limited Full time

    Claim Processing Analyst **Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role...


  • Petaling Jaya, Malaysia QBE Insurance Full time

    **Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for...

  • Claim Executive

    5 months ago


    Petaling Jaya, Malaysia HEALTH CONNECT SDN BHD Full time

    **KEY TASKS & ACCOUNTABILITIES** - Processing SP claims by assessing and keying in hospital invoices into CIS with reference to the client’s policy (SOB). Ensuring final diagnosis / consultation / medications are correct with supporting documents. - Follow up with hospitals for unanswered queries. - To adhere to the Company's procedure in accordance with...

  • Claim Executive

    5 months ago


    Petaling Jaya, Malaysia HEALTH CONNECT SDN BHD Full time

    **KEY TASKS & ACCOUNTABILITIES** - Processing SP claims by assessing and keying in hospital invoices into CIS with reference to the client’s policy (SOB). Ensuring final diagnosis / consultation / medications are correct with supporting documents. - Follow up with hospitals for unanswered queries. - To adhere to the Company's procedure in accordance with...

  • Manager, Claims

    5 months ago


    Petaling Jaya, Malaysia QBE Insurance Group Limited Full time

    Manager, Claims (Financial Lines & Liability) **Primary Details** Time Type: Full time Worker Type: Employee To assist in the management of the day to day activities of a team of Claims staff, directing, monitoring and controlling the handling of Claims within the control of the team **Primary Responsibilities** - Support the implementation and...

  • Manager, Claims

    5 months ago


    Petaling Jaya, Malaysia QBE Full time

    Primary Details Time Type: Full time Worker Type: Employee To assist in the management of the day to day activities of a team of Claims staff, directing, monitoring and controlling the handling of Claims within the control of the team Primary Responsibilities - Support the implementation and communication of Financial Lines & Liability Claims strategy...

  • Manager, Claims

    5 months ago


    Petaling Jaya, Malaysia QBE Insurance Full time

    **Primary Details** Time Type: Full time Worker Type: Employee To assist in the management of the day to day activities of a team of Claims staff, directing, monitoring and controlling the handling of Claims within the control of the team **Primary Responsibilities** - Support the implementation and communication of Financial Lines & Liability Claims...

  • Claim, Compensation

    5 months ago


    Petaling Jaya, Malaysia GD Express Sdn Bhd Full time

    a) To examine the facts of a claim and to determine if the claim is valid. b) Gathers and analysing facts and developing evidence including examining photographs and statements. c) Writing comprehensive reports on finding and making recommendation regarding the disposition of a case. d) Consult, coordinating and liaison with inter department/branch the...


  • Petaling Jaya, Malaysia Across Asia Assist (M) Sdn Bhd Full time

    We are a third party claims assessor for insurance companies. We assess travel and medical claims in accordance with the insurance companies' guidelines. **Job duties and responsibilities**: - Process travel and medical insurance claim - All claims are appropriately handled, documented, evaluated and investigated within the Guidelines. - Identify potential...


  • Petaling Jaya, Malaysia QBE Insurance Full time

    **Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for...

  • Usp Rollout Manager

    5 months ago


    Subang Jaya, Malaysia Paracell M Sdn Bhd Full time

    Position: USP Implementation Manager Location: Shah Alam Duration: 12 months (extendable based on performance) Start date: September 2021 **Responsibilities**: - Manage, oversees and responsible on MCMC USP Project - Lead and guide the team and Tower partner for project rollout and ensuring blocker is address accordingly. - Responsible for the respective...

  • Claims Assistant

    5 months ago


    Petaling Jaya, Malaysia Across Asia Assist (M) Sdn Bhd Full time

    You will be employed under Across Asia Assist (M) Sdn Bhd to support the Claims Department of a US based client (On Call International). For more than two decades, On Call International, a leading provider of travel risk management and travel assistance services, has helped millions of people with their travel problems, big and small. From serious medical...


  • Petaling Jaya, Malaysia QBE Insurance Group Limited Full time

    Claims Recovery Analyst, Asia **Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This...