Job Description

MohonKelayakan

• Fluent in spoken English & Mandarin. Candidate with proficiency to converse in Mandarin / Cantonese would be an added advantage. Passing SPM Mandarin subject is a MUST.Open to Fresh Graduate, experienced Medical Claims Assessor OR experienced candidate from Lab, Nurse, and Doctor, Food Science, Nutrition, Physiotherapist and Pharmacist.
• A recognized tertiary Diploma / Bachelor\'s Degree in Biology, Biotechnology, and Medical Science, Social Science, Business Management or equivalent qualifications for fresh graduate.
• Self-motivated and customer orientated.
• Time management skills.
• Computer literate in Microsoft Office.
• Good commitment at work, good attitude, willing to learn.
• Able to adapt desk-bound working environment, rotational basis working on weekend & able to work overtime beyond normal office hour (including weekend & public holiday).
• The role is required to follow Hong Kong working calendar.

TanggungjawabSummary: Process authorized claims transactions within the required benchmarks for Hong Kong market based on guidelines set for the issuance of insurance policies.Responsibilities:

• Process all Life / Accident and Health (A&H) / Major Claims / Corporate Solutions (CS)/ Pre Approval (PA) claims requests received as per stipulated requirements.
• Evaluate and gather all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim system.
• Ensure meeting individual quality, turnaround time and productivity benchmark.
• Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements.
• Prepares regular reporting to management on metrics relating to business, operations, risk, compliance, workforce, etc. or statutory authorities on regulatory metrics.
• Develop procedures for reporting, extract, collate and populate data to reporting template.
• Validate data accuracy and liaise with relevant parties to rectify data quality.

Manfaat

• Basic is up to RM7,000 depend on experience and qualification
• RM450 transportation allowance (fixed)
• Technical allowance (depends on authority limit)
• Insurance & Medical Coverage including dependent (based on Job Function Level)
• 18 days annual leave
• 14 days medical leave
• 1 day birthday leave
• Floating leave (Depend supporting country)
• 16% Employer EPF
• OT is Claimable
• Dental & Optical RM800 per annum
• Wedding Leave*
• Hospitalization Leave*
• Maternity/Paternity Leave*
• Exam Leave*
• Compassionate Leave*
• Education Support*
• Performance bonus and salary review in March *Subject to internal policy and conditions

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