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Medical Claims Executive

Medical Claims Executive

Protecthealth CorporationSepang, Selangor, Malaysia
21 jam yang lalu
Penerangan pekerjaan

Position Overview

We are seeking an energetic and detail-oriented Medical Claims Executive to join ProtectHealth Corporation Sdn. Bhd. This role is ideal for individuals with a medical or healthcare background, strong communication and presentation skills, and an extroverted personality who enjoys engaging with people and participating actively in corporate activities.

Contract Details

Contract Duration : 1-year contract (with potential for renewal based on performance)

What You’ll Do

  • Review and process medical claims according to established guidelines and deadlines.
  • Analyze and resolve routine claims issues, escalating more complex matters as needed.
  • Communicate effectively with internal and external stakeholders about claim processing.
  • Utilise data analysis to identify trends and suggest improvements in claim processing workflows.
  • Support the development and implementation of efficient claims processing procedures.
  • Collaborate with the Digital Technologies division to address system issues affecting claims.
  • Maintain accurate records and documentation related to claims processing activities.
  • Perform additional duties as assigned by management to support operational objectives.
  • Get involved in company activities and events, and be ready to assist in organising or handling these activities as needed.

What We’re Looking For

  • Bachelor’s Degree in a healthcare-related field (e.g., Nursing, Medical Science, Health Administration, Biomedical Science) or equivalent qualification.
  • 2–3 years of experience in medical claims processing, preferably in outpatient or TPA environments.
  • Familiarity with ICD-10 and CPT coding systems is an advantage.
  • Strong command of Microsoft Office Suite (Excel, Word, PowerPoint) and data management tools.
  • Excellent analytical, communication, and interpersonal skills — with the confidence to conduct presentations or represent the department in discussions.
  • Proactive, extroverted, and team-oriented individual who enjoys interacting with people and participating in company events or initiatives.
  • High attention to detail, strong organisational skills, and the ability to work independently under minimal supervision.

    • Note : Only shortlisted candidates will be contacted for further selection.

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    Buat amaran kerja untuk carian ini

    Executive Executive • Sepang, Selangor, Malaysia