- Kuala Lumpur Kuala Lumpur WP Kuala Lumpur Malaysia 50480

Working Location
Job Description
Requirements
* Diploma or Bachelor's degree in any discipline.
* 1–3 years of experience in insurance claims processing (Medical, Health, Life, Employee Benefits, or General Insurance).
* Strong knowledge of claims adjudication, claim verification, eligibility assessment, and claim settlement.
* Proficient in Microsoft Office (Excel and Word).
* Ability to read, write, and communicate in English and Chinese (Mandarin).
* Ability to speak Cantonese is mandatory to support Hong Kong clients.
* Strong attention to detail, analytical, and problem-solving skills.
* Excellent communication, organizational, and time management skills.
* Able to work independently, manage multiple priorities, and perform well in a fast-paced environment.
* Prior experience working in an insurance company, TPA, shared service center, or insurance BPO is an advantage.
Responsibilities
Key Responsibilities
* Process insurance claims accurately and within agreed turnaround times.
* Review and verify claim documents to determine eligibility and policy coverage.
* Assess claims and calculate claim settlements based on company policies and procedures.
* Ensure claims are processed in compliance with SOPs and service level agreements (SLAs).
* Handle customer inquiries via phone and email, providing timely and professional support.
* Liaise with internal teams and external stakeholders to resolve claim-related issues.
* Maintain accurate records and ensure high-quality claim processing.
* Support ad hoc operational tasks as assigned.
* Collaborate with the team to achieve departmental KPIs and service standards.
Benefits
LRT - MASJID JAMEK
0.3 km
LRT - PASAR SENI
0.6 km
MRT - PASAR SENI
0.6 km
KTM - BANK NEGARA
0.8 km
LRT - BANDARAYA
0.9 km
KTM - KUALA LUMPUR
0.9 km
LRT - PLAZA RAKYAT
1.0 km
MRT - MERDEKA
1.1 km
MRL - MAHARAJALELA
1.2 km
LRT - DANG WANGI
1.3 km
MRL - MEDAN TUANKU
1.4 km
MRT - MUZIUM NEGARA
1.4 km
LRT - SULTAN ISMAIL
1.5 km
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