Medical Claims Executive

4 weeks ago


Subang Jaya, Malaysia PMCare Sdn Bhd Full time

Maintaining claim databases, including information about claim status, payouts, and related details
- To assist members with medical claims management and hospital admission support.
- To process medical claims submissions received competently within the stipulated turnaround time (TAT) and in accordance with the standard operating procedure (SOP).
- To process medical claims competently within the stipulated turnaround time and in accordance with claims protocol.
- To attend to claims enquiries and correspondences relating to feedback or complaints promptly and effectively.
- To follow-up and ensure all requests for supporting documents and/or information relevant to the assessment of a claim are promptly obtained from clients.
- To investigate potential fraudulent claims and report any suspicion of an irregularity to the superior.
- To perform any ad hoc tasks assigned by the superior.

Essential Experience, Skills And Knowledge:

- Good command in English & Bahasa Malaysia, both speaking and writing.
- Able to work in fast paced environment, independent, customer focused and proactive working attitude with strong sense of responsibility.
- Flexible and willing to work extra hours as and when required.
- Possess own transport.

**Job Type**: Contract
Contract length: 12 months

Pay: RM2,000.00 - RM2,500.00 per month

Schedule:

- Day shift
- Monday to Friday

**Education**:

- Diploma/Advanced Diploma (required)



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