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Client Services Officer

  • Full Time, onsite
  • Pacific Prime Insurance Brokers Sdn Bhd
  • Kuala Lumpur, Malaysia
RM 3,000 - RM 4,500 / month

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Job Highlights

  • 5 days work week
  • Permanent role
  • Immediate vacancy

Job Responsibilities

  • Handle incoming calls and respond to customer's emails on employee wellness, medical and benefits plans
  • Maintain complete and accurate records of customer interactions in the Customer Relationship Management (CRM) system
  • Process flexible benefits claims, verifying submitted documents to ensure they meet client guidelines and completeness
  • Adjudicate self-funded claims and liaise with employees or HR teams for any missing or incomplete information
  • Liaise with employees/HRs for submission of missing/incomplete Information/documents
  • Prepare and submit payroll/Giro reports and Flex Claims utilization reports to clients according to agreed timelines
  • Analyse and investigate claims to prevent fraudulent claims reimbursements
  • Manage, resolve, and close customer complaints and feedback, as well as handle employee inquiries related to claims adjudication
  • Ensure timely follow-up with both internal and external stakeholders on pending cases to provide swift resolution
  • Perform ad-hoc tasks as assigned by management

Requirements

  • Minimum 2 to 4 years of experience in claims processing, customer service, or a contact centre role, ideally within the insurance industry
  • Experience with CRM systems and claims management software to track and resolve claims effectively.
  • Familiarity with flexible benefits, health insurance, and claims processing
  • Proficiency in Microsoft Excel for reporting and data management is an advantage.
  • Knowledge of Mandarin is an advantage to support Mandarin-speaking clients
  • Excellent verbal and written communication skills
  • Exceptional problem-solving abilities, attention to detail, and a proactive approach to customer service
  • Strong organizational and time management skills, with the ability to handle multiple claims and inquiries at once
  • Willingness to work on a rotating shift between 8:00am to 7:00pm to meet business needs

Job Types: Full-time, Permanent

Pay: RM3,000.00 - RM4,500.00 per month

Schedule:

  • Day shift
  • Monday to Friday

Application Question(s):

  • Are you familiar with Customer Relationship Management (CRM) system?
  • Are you willing to work on a rotating shift between 8:00am to 7:00pm to meet business needs?

Experience:

  • CRM systems and claims management software: 2 years (Required)
  • Insurance industry: 2 years (Required)
  • claims processing, customer service, or a contact centre: 2 years (Required)

Language:

  • Mandarin (Required)

Application Deadline: 02/03/2025