Company Confidential Vacancies Cost Containment Case Management Executive

Company Confidential is looking for new potential candidates to fill in for Cost Containment Case Management Executive position. If you currently looking for new healthcare job opportunities and qualified with the job desc, feel free to apply this job.

Job Description

Key Responsibilities
  • Review thoroughly each claim to ensure accuracy of information and verification of facts whether customary and reasonable based on rates stipulated by law (Malaysia).
  • Process claims according to standard recommendation and guidelines set.
  • Systematically follow-up and attend to internal & external customer’s enquiries pertaining to claims while meeting internal standard turnaround time.
  • Audit of claims for inconsistencies and accurately recorded.
  • Able to lead new team members in solving complex problems while handling case assessment and audit.
  • Preparation of basic cost containment or savings reports.
Technical/ Functional Knowledge, Skills and Abilities
  • Proficiency in Computer software – Microsoft Excel & Word.
  • Good command (spoken & written) in English & Bahasa Malaysia. Any extra language would be added advantage for the job.
  • Possess interest and able to give excellent attention to details with large data.
  • Basic Medical knowledge or background would be essential for training of new staff and handling of medical claims.

Education, Professional Qualifications and Experience
  • Candidate must possess at least a Professional Certificate, Diploma, Advanced/Higher/Graduate Diploma, Bachelor's Degree, Post Graduate Diploma, Professional Degree, Medicine, Medical Science, Nursing or equivalent.
  • Minimum 3 years working experience preferable in the insurance medical claims or medical industry.
  • Full-Time position(s) available.

Company Overview

Located in the heart of Petaling Jaya, Malaysia, the company has emerged as Malaysia’s leading assistance service provider and third party administrator as well as earned a global reputation as Asia’s top medical assistance provider.
We operate 24/7 to be there for our corporate and individual members around the globe, through our regional presence and our global network of independent assistance companies. With more than a decade of experience, we have what it takes to provide our members and clients with an absolute peace of mind.

How To Apply

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