Asia Assistance Network (M) Sdn Bhd Vacancies Medical Claim Assessor

Asia Assistance Network (M) Sdn Bhd is looking for new potential candidates to fill in for Medical Claim Assessor position. If you currently looking for new healthcare job opportunities and qualified with the job desc, feel free to apply this job.

Job Description

Job Highlights
  • Positive Working Environment.
  • Gain experience working for MNC.
  • Outstanding career growth & development opportunities.
Key Resposibilities
  • To perform basic reports analysis, claims form examination and provide recommendation on case for admission within Authority.
  • Register cases into the Medical system for admission accurately and in a timely manner. This shall include the verification of customers.
  • To work and coordinate with the Data department, in the event of, any failure of data verification or any data inaccuracies detected. This shall include working and coordinating with clients on the subject of data verification or data inaccuracies.
  • To ensure proper and complete instructions on claim eligibility are provided on claims assessment sheet for accurate and timely settlement of the claim. This shall include issue of any initial and/or final LG/NG/Deferments/Medical Enquiries following the instructions of the appointed immediate supervisor/ Healthcare Operations Seniors.
  • Register cases into the Medical system for discharge accurately and in a timely manner.
  • To process bills by allocating charges in accordance to the benefits of the customer’s policy which are stipulated in the worksheet provided. To perform basic cost containment when adjudicating claims.
  • Respond to phone calls, e-mails and faxes within agreed client SLA and offer appropriate solutions and information.
Education Qualification
  • Candidate must possess at least a Diploma, Advanced/Higher/Graduate Diploma, Bachelor's Degree, Post Graduate Diploma, Professional Degree Science, Nursing, Biology, Medical Bioscience, BioTechnology or equivalent.
  • Knowledge in health insurance product in added advantage
Technical/ Functional Knowledge, Skills and Abilities
  • Proficient in both spoken and written English and Bahasa Malaysia
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
     
Other Role Specific Competencies
  • Orientation, interpersonal and communication skills
  • Must be able to work independently while contributing to a strong teamwork environment
  • Strong attention to detail, time management and decision-making skills
  • Common sense approach and flexible attitude - able to prioritize workload as required.

Company Overview

Located in the heart of Petaling Jaya, Malaysia, Asia Assistance Network (M) Sdn. Bhd. 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. Founded in 1998, we are based in Petaling Jaya, Malaysia with offices all over Asia.
Working primarily with corporations and insurance companies, Asia Assistance ensures that our members and clients promptly receive the best quality of care available, no matter where they are.
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.
Part of the AXA Group.

How To Apply

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