Assistant Officer

2 weeks ago


Kuala Lumpur, Kuala Lumpur, Malaysia Private Advertiser Full time 60,000 - 120,000 per year

We are seeking a highly motivated Assistant Officer – Claims Assessment to join our Claims team. In this role, you will be responsible for supporting the end-to-end process of assessing and processing individual and group medical claims, ensuring accuracy, compliance, and excellent service delivery.

Key Responsibilities:

  • Handle claims data entry for both inpatient and outpatient medical claims.
  • Review and evaluate claim submissions, ensuring all documentation is complete and valid.
  • Verify claims accuracy through cross-checking with relevant medical and policy records.
  • Communicate with claimants, healthcare providers, and other stakeholders to gather necessary information or clarification.
  • Maintain clear and detailed documentation of claims assessment and decisions.
  • Support the Claims Manager in preparing reports and analyzing trends.
  • Ensure compliance with internal policies and regulatory guidelines.
  • Provide prompt and effective customer service to internal and external stakeholders.
  • Mentor and support junior staff as needed.
  • Participate in process improvement initiatives to enhance claims processing efficiency.
  • Perform ad hoc assignments as directed by management.

Job Requirements:

  • A recognized University or College degree.
  • Minimum 1–2 years of experience in medical claims processing, preferably in both individual and group insurance.
  • Proficient in Microsoft Office (Word, Excel, PowerPoint).
  • Strong analytical and problem-solving skills.
  • High attention to detail with a strong sense of accuracy.
  • Able to work independently and as part of a team in a fast-paced environment.

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