Claims Executive

9 hours ago


Kuala Lumpur, Malaysia SynergyHR Sdn Bhd Full time

**YOUR ROLE**
- 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 chronology and processing time of the work volume and taking suitable actions.
- Participate efficiently in processing the flow of claims: inform the Team Leader about claims lacking clarity and about possible ways of optimising the processes.
- A sustained effort towards high-quality claims handling, accurate reimbursements and fast transactions are important motivators.

In relation to this position:
- Provide accurate communication about a dossier to the interested internal employee.
- Tracking irregularities in procedures and highlighting these to the Team Leader.
- Raising problems or sensitivities with your superior.
- Participating actively in an agreeable and amicable atmosphere

**YOUR PROFILE**
- You have a degree or equal through experience.
- Medical terminology
- Use of necessary reference works
- You are skilful in taking decisions: take the right action on allocated files based on the available information.
- You are skilful with numbers: likes to work with numbers.
- You are required to work accurately on the input of data, aims to work faultlessly.
- You are required to pay attention to procedures, agreements and document flows.
- You are required to find a good balance between quality and quantity.
- You are stress-resistant and you like to work in a team.
- You have the ability to work discretely with confidential (medical) information.

**Job Types**: Full-time, Permanent

**Salary**: RM3,000.00 - RM4,000.00 per month

**Benefits**:

- Health insurance

Schedule:

- Day shift
- Monday to Friday

Supplemental pay types:

- Performance bonus



  • Kuala Lumpur, Kuala Lumpur, Malaysia TWO95 International, Inc Full time

    IMMEDIATE HIRING FOR THE OPENING OF - INSURANCE CLAIMS EXECUTIVE – Salary 2800 to 3500RM / MonthOpen to Malaysians & Local Malaysians onlyTo assist the Head Of Claims, the Senior Executive and the Group COO in managing and processing the claimsTo liaise with external parties, including the lawyers, intermediaries and Adjusters on the claims managementTo...


  • Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Motor Claims Executive - Car Hire Excess Reimbursement** **Tenure : Permanent** **Working Hour : Standard** **Working location : Jalan Duta** **Salary : RM 3500 - RM 4000** **Responsibilities**: - Receive, validate new claims and handle them. - Review and approve claims within authority. Prepare claims files for presentation to capacity...

  • Claims Investigator

    4 days ago


    Kuala Lumpur, Malaysia Allianz Malaysia Full time

    **Summary of Job**: We are seeking a highly skilled professional to join our Claims Control & Specialised Claims Unit. As a key member of our team, you will be responsible for Market Intelligence, serving as a Claims Specialist, overseeing Performance Management, and handling Fraud Management. Your expertise will ensure efficient and effective claims...


  • Kuala Lumpur, Malaysia Prudential Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...

  • Executive, Claims

    4 days ago


    Kuala Lumpur, Malaysia Prudential plc Full time

    Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...

  • Claims Executive

    4 days ago


    Kuala Lumpur, Kuala Lumpur, Malaysia Generali Malaysia Full time

    Summary:Providing reliable and responsive customer service and claims advice to all our policyholders and agents. The service will include handling claims enquiries, complaints, processing and case management.Responsibilities:1. Operational EfficiencyAssessment and approval of Major Claims, Medical and PA claims within the defined approval authority limit...

  • Claim Specialist

    2 weeks ago


    Kuala Lumpur, Malaysia Agensi Pekerjaan Times Management Consultancy Sdn Bhd Full time

    Responsibilities: Analyze and investigate complicated insurance claims to help prevent fraud. Perform detailed site inspections. If necessary, provide well-informed court testimonies. Review and process new claims reports and court verdicts. Uphold relationships and communication with insurance departments and clients. Organize and present claim review...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...

  • Executive, Claims

    4 days ago


    Kuala Lumpur (Group Head Office), Malaysia Prudential plc Full time

    Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our...