Company Confidential is looking for new potential candidates to fill in for Medical Claims Assessor position. If you currently looking for new healthcare job opportunities and qualified with the job desc, feel free to apply this job.
- Act as the first point of contact for customers on the status of a case.
- To perform complex reports analysis, claim forms examination and provide recommendation on case for admission that surpasses the authority of a Healthcare Operations Officer.
- To review, re-evaluate and determine extent of insurer’s liability on case for discharge that surpasses the authority of a Healthcare Operations Officer. Provide advice with appropriate referrals/ escalations as and when needed.
- To ensure no delay in the provision of services and cases to be closed in a timely manner within the agreed SLA.
- To ensure daily processes are complying with legislative requirement such as data protection and medical confidentiality
- Respond to callers’ enquiries offering appropriate solutions and information.
- To liaise effectively with medical professionals, intermediaries, clients and customers.
- Ad-hoc tasks assigned by superior.
- Good communication skills in English, Bahasa Malaysia.
- Ability to multi-task and work in a fast paced environment.
- Possess good general knowledge and the ability to handle stress and work with minimal supervision.
- Candidate must possess at least a Diploma, Advanced/Higher/Graduate Diploma, Bachelor's Degree, Post Graduate Diploma, Professional Degree, Medicine, Medical Science, Nursing or equivalent.
- At least 2 year(s) of working experience in the related field is required for this position.
- Full-Time position(s) available.
How To Apply
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