Claims and Admin Executive

2 weeks ago


Kuala Lumpur, Malaysia Pacific Prime Insurance Singapore Pte Ltd Full time

**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

**Education**:

- STM/STPM (required)

**Experience**:

- Microsoft Office: 1 year (required)
- Claims in Insurance: 1 year (required)



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