Job Description

Job Purpose

• Post audit reports, to handle new and on-going cases, and to complete daily assigned administrative tasks.

Position Responsibilities * Quality Control

• Quality check on medical examination reports/questionnaire/ attending physician statement (APS) before submitting to the insurance company.
• Quality check on lab reports to ensure no omission on the tests required by the insurance company.
• Follow up on incomplete medical examination reports from panel / non-panel providers.
• Submission of reports via email, Sftp or burn to CD to insurance company further action.

• Case Administration

• Update system - move entry for medical requirement and to update coordination for new entry cases.
• To follow up on long outstanding medical report from panel / non-panel providers.
• Attend to inbound and outbound calls, emails, and inquiries from external parties such as panel / non-panel providers, insurers, or customers.

• Issuance of Guarantee Letter to customers, insurers, and panel providers

• Issue guarantee letter for customer to do medical check-up at panel / non-panel clinic/hospital as per request.
• Prepare required documents as per insurance company's instruction for customer to complete.

• Documentations and Administrative tasks

• Data entry - key in order /cases from insurance company into Medicheck system.

• Scan, rename and save the received medical reports/document by insurance company on daily basis.

• Prepare and send report for completed cases to insurance company.
• Save files, documents, and reports in MyFold folder on daily basis.
• Handle incoming mails from providers / customers and to update the information into to system accordingly.
• Handle incoming fax and sort accordingly.

Qualifications

Technical/ Functional Knowledge, Skills and Abilities

• Proficient in both spoken and written English and Bahasa Malaysia
• Proficient in Microsoft Office (Word, Excel and PowerPoint)
• Proficient in Microsoft Outlook
• Speed; should be fast and efficient

Education, Professional Qualifications and Experience

• Diploma/Degree in any field
• Fresh Graduate are welcome
• Strong results orientation, interpersonal and communication skills
• Experience and knowledge of customer service principles and practices
• Experience and knowledge of call center telephony and technology
• Good data entry and typing skills
• Knowledge of administration and clerical processes

Other Role Specific Competencies

• Proficient in Microsoft Office applications and Outlook.
• Excellent interpersonal and communication skills, active listening skills and the ability to build rapport/ relationships.
• 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.