Executive, Claim Adjudicator (24/7 Cashless Administration)

Job description

Does customer satisfaction inspire you? 

This role is to process and review all medical/ health claims within specified authority limit and ensure that payments are made within the turnaround time (TAT).

You'll be responsible for:

• To assess and process all health/ medical claim for reimbursement in line with policy guidelines within authority limit
• Responsible for the day-to-day 24/7 operations for guarantee facilities (hospital admission and discharge)
• To be responsible for claim settlement and ensure payments are process within the agreed turnaround time and service standard
• To support Helpline team with enquiries pertaining to medical reimbursement
• To response to customer’s enquiries on claim reimbursement matters in a timely manner
• Assume the responsibilities of other team members as and when requires
• Participate in project initiatives to improve efficiency and productivity of the department

Important to your success: 

• Diploma/ Degree in any medical or health science related field of study
• Minimum 2 - 3 years working experience in healthcare related industry or knowledge in medical/ health claims
• Possess good communication skill and good command of spoken and written English and Bahasa Malaysia
• Meticulous and attention to details
• Able to work independently in a 24/7 fast-paced environment
• Result-oriented with sense of urgency towards True Customer Centricity
• Demonstrates ability to work as a team to deliver Allianz’s enhanced customer experience journey
• Familiarity with AI tools like ChatGPT or Copilot is an added advantage.
• Applicants must be willing to work in KL Sentral

Disclaimer: Thank you for your interest in joining our team. Due to the high volume of applications we receive, we are unable to provide individual feedback to every applicant. If you do not hear from us within 14 days of submitting your application, please assume that you have not been selected for this position.

Important: All updates regarding your application status will be communicated via email. Please ensure you frequently check your email for updates and further instructions.

Note: Allianz will not accept any forward unsolicited resumes from any source to our employees email other than directly from a candidate. We will not be responsible for any fees and charges impose.