Position : Insurance Claim Specialist
Tenure : Permanent
Working Hour : Standard
Working location : Jalan Duta
Salary : RM 6500 - RM 7000
Job Responsibilities :
- Receive, validate, and manage new claims.
- Review and approve claims within authority limits, preparing files for presentation to capacity partners for significant losses.
- Respond to client inquiries and conduct diary follow-ups.
- Validate claims for third-party schemes and establish proof of loss by analyzing medical documentation and conducting investigations.
- Document all actions related to medical claims and resolve them by approving or denying documentation, calculating benefits, and initiating payments or composing denial letters.
- Maintain quality customer service by adhering to company practices and promptly addressing customer inquiries.
- Prepare monthly reports summarizing claim information.
- Stay updated with industry knowledge through educational opportunities and professional organizations.
- Ensure compliance with company policies, procedures, and regulatory requirements, including FCA regulations.
Job Requirement
- Bachelor’s Degree and 5 or more years of experience in the Claims
- High level of communications and interpersonal skills with practical Insurance knowledge. Good teamwork, ability to keep pace with new developments and proactive self-starter
Job Type: Permanent
Pay: RM5,500.00 - RM7,000.00 per month
Schedule:
- Monday to Friday
Application Question(s):
- How long is your notice period?
- How much is your expected salary?
Education:
- Bachelor's (Preferred)
Experience:
- medical claim: 3 years (Required)
- travel claim: 3 years (Required)
Work Location: In person
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