Medical Claims Executive

**Job description**: - To head the Medical Claims Experience Unit - Provide coaching and guidance to team members - Manage and track all medical claims submissions to meet service charter - Spearhead system improvement to enhance processes and turn-around-time (TAT) - Provide prompt response and good customer experience at all times - Compilation of...

**SUMMARY**: Processing reimbursement claims. **KEY TASKS & ACCOUNTABILITIES** - Answering enquiries from insured / insurer - Develop good customer relationships - Administrative work - Ensure no errors or issues in the reimbursement **QUALIFICATIONS/EXPERIENCE** STPM, Diploma, Degree **TECHNICAL SKILLS** - Diploma, Advanced/Higher/Graduate Diploma,...

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...

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...

**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...

**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...

**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...

Scan document in the medical records according to chronological order. - Rearrange document before scanning if found any discrepancies. - Remove any duplication of documents before scanning. - Medical records more than 7 years to discard after scanning. - Medical records less than 7 years to scan and file back to filing shelves. - Sort and file medical...

**SUMMARY**: Assisting in processing post treatment claims. **KEY TASKS & ACCOUNTABILITIES** - Processing original post treatment bills/follow-up bills - Processing original government bills - Checking availability of limit/remarks under membership or PIC of cases. - Processing Interim bill as per actual bill according to available limit/remarks. -...

Responsibilities: Operations Management - Oversee day-to-day operations, ensuring efficiency and effectiveness in achieving organizational goals. - Collaborate with department heads to develop and implement operational strategies, policies, and procedures. - Monitor key performance indicators (KPIs) to evaluate the success of operational initiatives and make...

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...

**Act as a human resource business partner in coordinating human resources tasks at country level.** **HR Data Analysis** - Data analysis and maintenance of data, including but not limited to consolidation of data, data validations, preparation of reports for reviews etc. and escalates issues/concerns when necessary. - Ensure payroll reports are generated...

To assist the Senior Manager of Healthcare Solutions to provide support for the operations of Digital Healthcare Services for our clients and members, and liaise with the relevant stakeholders including the medical fraternities and the medical providers. - Attend daily inquiries and complaints from our clients, members and internal stakeholders via all...

**About the team** Doctor Anywhere's Operations team is a crucial part of the company. We ensure the day-to-day excellence of our TPA business, virtual and in-person clinical services, resolving operational issues in a timely manner and providing the best customer experience possible. We make sure that our customers remain our top priority. **About the...

**Start date: Immediate Hiring** - Location: 47600 Subang Jaya Petaling Selangor - Working Hours: Monday - Friday / 8.30 AM - 5.30 PM - Salary: RM1,500 - RM1,900 (Depends experience) Job Scope: - Responsible in the areas of compiling, verify, placing various types of functioning claim from Sales Coordinators from all region. - To key in sales order,...

**Start date: Immediate Hiring (NOO NEED TO DO SALES)** - Location: 47600 Subang Jaya Petaling Selangor - Working Hours: Monday - Friday / 8.30 AM - 5.30 PM - Salary: RM1,500 - RM1,900 (Depends experience) Job Scope: - Responsible in the areas of compiling, verify, placing various types of functioning claim from Sales Coordinators from all region. - To key...

Assist Human Resources Manager in coordinating the human resources tasks at country level. KEY ACCOUNTABILITIES Talent Acquisition - Once selected, input into SESAME for approval. - Arrange for Visa/Work Permit and liaise with relevant agencies for hiring of Expatriates, Non-Natives, and Foreign Interns and Foreign workers. Payroll Administration -...

**Start date: Immediate Hiring (NOO NEED TO DO SALES)** - Location: 47600 Subang Jaya Petaling Selangor - Monday to Friday | Morning : 8am-5pm | Afternoon : 1pm-10pm | Night : 10pm-7am - Saturday: Morning : 8am-1pm | Afternoon : 12pm-5pm | Night : 5pm-10pm - Salary: RM1,500 - RM1,900 (Depends experience) Job Scope: - Responsible in the areas of compiling,...

**Start date: Immediate Hiring (NOO NEED TO DO SALES)** - Location: 47600 Subang Jaya Petaling Selangor - Monday to Friday | Morning : 8am-5pm | Afternoon : 1pm-10pm | Night : 10pm-7am - Saturday: Morning : 8am-1pm | Afternoon : 12pm-5pm | Night : 5pm-10pm - Salary: RM1,500 - RM1,900 (Depends experience) Job Scope: - Responsible in the areas of compiling,...

**Main Responsibilities**: - Assist in the medical marketing strategy planning and execution of tactical and ad-hoc activities in line with overall brand objective and brand strategy to drive healthcare professional (HCP) expert recommendation. - Support Marketing Manager to collaborate with Marketing, Medical and Regulatory Teams to build brand...