Senior Medical Claims Executive (HealthcareIndustry)

Location : OUG Parklane, Malaysia

Job Titles : Senior Claims Executive

Job Summary

The Senior Claims Executive will additionally handle complex cases, mentor junior staff, and support claims process improvements.

Key Responsibilities

• Handle complex or high-value claims, providing in-depth analysis and investigation as necessary.
• Review and approve claims processed by junior staff, ensuring accuracy and adherence to company policies.
• Mentor and train junior Claims Executives on claims handling procedures and best practices.
• Collaborate with management to implement process improvements and develop streamlined claims workflows.
• Conduct periodic audits of claims to ensure compliance with industry regulations and internal standards.
• Act as a primary point of contact for escalated claims issues, working closely with healthcare providers, insurers, and clients to resolve disputes.

Key Requirements

Education and Experience :

Senior Claims Executive : 3-5 years of experience in healthcare claims processing, with exposure to complex claims management and team leadership.

Skills :

Attributes :

Benefits