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Senior/Junior Claims Executive (Healthcare Industry)

RM 4,000 - RM 4,000 / Per Mon

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Job Summary

We are looking for a detail-oriented Claims Processor/Finance Executives to join our healthcare team. In this role, you will review, process, and adjudicate insurance claims, ensuring compliance with regulations and company policies. You will also communicate with healthcare providers and patients to resolve discrepancies.

Key Responsibilities

  • Processing admission/interim/discharge/post hospitalization claims up to the given endorsement limit
  • Review and verify completeness of incoming claims.
  • Process claims accurately and in a timely manner.
  • Communicate with providers, internal staff, clients, hospitals and insurance company to address inquiries.
  • Identify and resolve issues related to claims processing.
  • Maintain accurate records and prepare reports.

Qualifications

  • Diploma, Advanced/Higher/Graduate Diploma, Degree in any Science related field.
  • At least 1 to 3 years of relevant experience in claims processing.
  • Experience in claims processing in the healthcare industry is a plus.
  • Proficiency in claims processing software and Microsoft Office.

Benefits

  • Competitive salary and benefits package.
  • Opportunities for professional growth.

Job Type: Full-time

Pay: Up to RM4,000.00 per month

Benefits:

  • Opportunities for promotion
  • Professional development

Schedule:

  • Monday to Friday

Supplemental Pay:

  • Performance bonus