About us
MSH International is a global leader in international health and life insurance solutions.
With over 1,400 staff across 6 regional offices worldwide and 50 years of expertise, we are proud to offer tailored services to our members.
As a multinational company, we are committed to nurturing young talents and providing excellent career growth opportunities.
Whether you have experience in medical claims or are a fresh graduate eager to learn, we invite you to join us!
Position – Claims Executive
Role & Responsibilities
Process reimbursement claims from members and hospital claims, ensuring alignment with client contracts and SLAs.
Manage relationships with insured members, healthcare providers, and stakeholders, supporting portfolio management and related activities.
Process reimbursement claims by:Verifying the insured member's coverage.
Confirming up-to-date premium payments when necessary.
Checking rates (Usual Customary Rates) and applicable discounts.
Ensuring compliance with contractual terms.
Updating databases with accurate claim information.
Inputting payment statements into the system and resolving rejected payments.
Providing payment summaries for senior review.
Managing external data integration from third parties.Handle regularization requests, undue payments, returned payments, and specific cases.
Provide support and information to insured members via telephone (level 2 and overflow), mail, and email.
Manage and resolve complex cases in collaboration with the high claims team, medical team, and department managers.
Follow up on client requests and complaints to ensure timely and effective resolution.
Qualifications & Experience
We are looking for candidates with the following profile:
Diploma or Bachelor's Degree in Medical Sciences, Languages, or Office Administration.
Previous experience or internships in:Insurance industry, Third Party Administration, or Call Centers.
Customer Service, administrative roles, or similar functions.Proficiency in Microsoft Office, especially Excel, and familiarity with email and internet tools.
Language skills: Fluency in English is required.
Proficiency in one or more additional languages (e.g., French, Spanish, Thai, Korean, Japanese) will be a strong asset and may command a higher salary.
Skills
Exceptional communication skills (both oral and written).
Keen attention to detail and ability to manage diverse insurance contracts accurately.
Strong organizational skills with a focus on prioritization and efficiency.
High levels of accuracy and assiduity in work.
Ability to multitask, adapt to changing situations, and work under pressure.
Strong customer service skills, including diplomacy, tact, and active listening.
Proficient planning and time management capabilities.
Knowledge of medical terminology is a plus.
Team player with a collaborative mindset.
What we offer
A dynamic and multicultural work environment.
Comprehensive training and mentorship for fresh graduates.
Support from experienced professionals to help you succeed in your role.
Apply now and grow your career with MSH International!#J-18808-Ljbffr