Medical Claims Analyst

4 days ago


Subang Jaya, Selangor, Malaysia HealthMetrics Full time
Job Description

The role of a Claims Specialist at HealthMetrics involves processing all submissions within the turnaround time, clarifying information, and providing solutions or alternatives to members, corporates, and hospitals.

Key Responsibilities

  • Provide expertise by reviewing, researching, investigating, and processing claims.
  • Process Guarantee Letters and manage filing systems systematically.
  • Handle queries from members, corporates, and hospitals via phone and email.
  • Resolve technical or contentious claims within medical knowledge and policy boundaries.
  • Paperwork and administrative tasks including filing and other related duties.

Requirements

  • Diploma/Degree holders in medical-related fields are preferred.
  • Fresh graduates are encouraged to apply.
  • Able to work with minimal supervision and adapt to new situations.
  • High organisational and interpersonal skills.
  • Attention to detail and ability to converse in English fluently.
  • Customer service-oriented and able to work shifts/odd hours/weekends.


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