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Claims and Admin Executive

1 month ago


Kuala Lumpur, Malaysia PP Consultants Malaysia Sdn. Bhd. Full time

**Job highlights**:

- **5 days work week (Mon to Fri, 9am to 6pm)**:

- **Immediate vacancy**:

- **1 year contract (renewable)**

**Responsibilities**:

- 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 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

**Requirements**:

- Customer centric, meticulous, strong analytical skill
- Able to multitask, well organized and work under pressure to meet tight deadlines
- Exposure in general insurance industry will be an added advantage but not a must
- Excellent interpersonal and communication skills
- Proficient in Microsoft Office (e.g. Microsoft Excel) and PDF editor

**Job Type**: Contract

**Salary**: RM3,000.00 - RM4,000.00 per month

Schedule:

- Monday to Friday

Application Question(s):

- List your Microsoft Office product(s) knowledge and proficiency level.

**Experience**:

- Insurance Claims: 2 years (required)
- General Insurance: 2 years (required)