Claims and Admin Executive

2 weeks ago


Kuala Lumpur, Malaysia Pacific Prime Insurance Brokers Sdn Bhd Full time

Prepare, check and submit claim forms and related documentation

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: RM2,500.00 - RM6,000.00 per month

**Benefits**:

- Health insurance
- Opportunities for promotion
- Professional development

Schedule:

- Monday to Friday



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