We are seeking dynamic professionals to join our newly developed claims team (KL) in our corporate managed healthcare business.
The Job:
Provide accurate and efficient adjudication of claims, validation, pre-authorisation of applications and Letter Of Guarantee issuance to meet operational and SLA targets.
Conduct regular review of current claims processes and work with internal stakeholders on developing new and improved processes to improve efficiency and overall claims experience.
Manage escalations and stakeholder relations.
Be a champion for change as well as provide ongoing training and development for effective claims management.
Liaise with the Insurance Company to verify exceptions as well as to resolve any complaints.
Conduct analysis, prepare periodic reports and presentations when required.
Requirements:
Strong technical understanding of the claims process for medical claims, preferably in a Third-Party Administrator/Managed Healthcare environment.
Prior experience with a healthcare insurer provider is an advantage.
Highly developed interpersonal skills.
Excellent organisational skills and exceptional eye for detail.
Passionate about driving change to improve business outcomes.
Ability to work independently with little guidance.
Exceptional communication and stakeholder management skills.
Interested applicants please click apply or send in your resume to us.
Kindly note that only shortlisted candidates will be contacted.
To know more about our organisation, please visitour website .
Your application will include the following questions:
What's your expected monthly basic salary?
Which of the following types of qualifications do you have?
Have you worked in a role which requires a sound understanding of claims management processes?
How many years' experience do you have as a Claims Specialist?
How many years' experience do you have as a Claims Executive?
Which of the following statements best describes your right to work in Malaysia?
Which of the following languages are you fluent in?#J-18808-Ljbffr