Medical Claims Team Leader

2 weeks ago

Kuala Lumpur, Malaysia Allianz Full time

JOB DETAILS / ROLE PURPOSE
KEY RESPONSIBILITIES
Management of the Claims Function-Manage Service Level Agreements (SLA) of our partners/ internal teams and lead the team to either met or exceed the agreed SLA-Identify the priorities in claims function to increase the efficiency in claim processes and improve in customer satisfaction;-Manage the performance and quality of the Claims through OFR and CFR review collaborated with Quality Assurance Team.Acts as the primary technical referral point and/or operation escalations for team members-Provide approval within the claims authority limit-Manage customer feedback, inquiries and complaints promptly and effectively within designated timelines whilst providing a feasible resolution through established departmental processes and procedures-Execution of training plan when required-Participate in team projects and/or ad-hoc tasks as assigned-Promote positive teamwork and collaboration in assuming the responsibilities of other team members as and when required.Being involved in Partner Relationships meetings; and-Representing Allianz Partners as a Senior Operations Leader Operations - Strategy Ownership-Owning and managing the Claims Operation Strategy Plan actions; and-Being part of the Operations Senior Leadership team to drive company’s strateg
PROFILE KEY REQUIREMENT
- Minimum Diploma or Degree in medical. Minimum 3 years of relevant work experience in clinical practice or medical claims department. At least 2 years relevant experience in a team leader or supervisory role. Strong understanding of medical terminology, diagnoses, and treatment protocols. Those with insurance, medical or travel backgrounds will have an added advantage. Proven written and verbal communication skills in English. Proficient in all Microsoft Office Applications
- Able to make decisions swiftly and put decisions into practical use. Works within a team environment, treating all team members with care and respect and assisting other team members as needed

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of course and target development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build work well programs to providing you with peace of mind and give the flexibility in planning and arranging for better work life balance.

  • Medical Claims Representative

    2 days ago

    Cheras, Kuala Lumpur, Malaysia Cigna International Health Services Sdn Bhd Full time 15,000 - 30,000 per year

    JOB PURPOSEThe job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of benefits. He/She should provide accurate and relevant medical coverage details and maintain pre-approvals...

  • Medical Claims Executive

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Insurance Full time 30,000 - 60,000 per year

    At Allianz Partners, we don't just process claims—we help travelers get the right care and get back on track. Join a global leader and make a real impact across Malaysia, Singapore, and Indonesia.In this associate-level role, you'll evaluate and manage travel medical claims end-to-end, ensuring fair, accurate decisions and clear communication for our...

  • Medical Claims Executive

    1 week ago

    Kuala Lumpur, Malaysia Hunters International Sdn Bhd Full time

    **About the Company** Our client is a global health service company dedicated to helping people improve their health, wellbeing and peace of mind. They have over 74,000 employees who serve more than 170 million customers throughout the world. They deliver choice, predictability, affordability and access to quality care through connected, personalised...

  • Medical Claims Executive

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Partners Full time 40,000 - 60,000 per year

    At Allianz Partners, we don't just process claims—we help travelers get the right care and get back on track. Join a global leader and make a real impact across Malaysia, Singapore, and Indonesia.In this associate-level role, you'll evaluate and manage travel medical claims end-to-end, ensuring fair, accurate decisions and clear communication for our...

  • Medical Claims Executive

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia AWP Services (Thailand) Co., Ltd. Full time 80,000 - 150,000 per year

    Company description: Note: This role will be employed under Allianz Partners Malaysia (AWP Services Sdn Bhd).Job description: At Allianz Partners, we don't just process claims—we help travelers get the right care and get back on track. Join a global leader and make a real impact across Malaysia, Singapore, and Indonesia.In this associate-level role,...

  • Claims Representative A

    1 week ago

    Kuala Lumpur, Malaysia The Cigna Group Full time

    Claims processing - Processing claims under GEH APAC book of business - Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality. - Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods. - Following up his/her own...

  • Claim Representative

    4 days ago

    Kuala Lumpur, Malaysia The Cigna Group Full time

    Claims processing_ - Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality. - Positioning him/herself analytically and critically in the context of cost management and in respect of existing working methods. - Following up his/her own workload (volume and timing): keeping an eye on...

  • Medical Claims Analyst

    2 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia LiveWell Full time 80,000 - 120,000 per year

    Job Summary Utilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency. Job Accountabilities - Key AccountabilitiesEnsure monthly reporting of Business Units to the data warehouse and constantly improve data quality and...

  • Claims Representative

    1 week ago

    Kuala Lumpur, Malaysia The Cigna Group Full time

    Cigna is one of the world’s leading providers of health care, expatriate employee benefits, life, accidental and supplemental health insurance. Headquartered in the US and listed in NYSE, the Company operates in countries across the Americas, Europe, Africa and Asia Pacific. Cigna Global Health Benefits (CGHB) is an integral part of Cigna's growing...

  • Claims Representative

    7 days ago

    Kuala Lumpur, Malaysia The Cigna Group Full time

    Cigna is one of the world’s leading providers of health care, expatriate employee benefits, life, accidental and supplemental health insurance. Headquartered in the US and listed in NYSE, the Company operates in countries across the Americas, Europe, Africa and Asia Pacific. Cigna Global Health Benefits (CGHB) is an integral part of Cigna's growing...