Life / Medical Insurance (Claims or Underwriter) - (Junior or Senior)

Job Description

Title: Life / Medical Insurance (Claims or Underwriter) - (Junior or Senior)

Company Name: EDESK SDN. BHD.

Vacancy: 1

Job Location: Kuala Lumpur

Career Level: Senior Executive

Years Of Experience: 1 year

Qualification: Professional Certificate, Diploma, Advanced/Higher/Graduate Diploma, Bachelor's Degree, Post Graduate Diploma, Professional Degree

Employment Status: Full-Time

Medical Claims Assessors (Associate Level to Assistant Manager) :
  • Process authorized claims transactions within the required benchmarks
  • Review and approve cases that exceeds subordinates’ authority within required benchmarks
  • Building and Developing complete skill sets for Claims Assessors
  • Claims Reporting
  • Trends Analysis
  • Process all Life and/or A&H claims requests received as per stipulated requirements
  • Ensure meeting personal quality, turn around time and productivity benchmark
  • Review/approve cases that exceeds subordinates’ authority
  • Training of all new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases
  • Providing training in System Navigation and Processing Steps, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.
  • Report claim experience, quality, trends and patterns analysis, with a view to identifying issues & problems, formulating solutions and strategies as part of the risks management and control responsibilities and its implementation.
  • Assist Assistance Manager to conduct regular claims review in claims performance to ensure claims principles/authorities are adhered to. Review claims decision making process to identify areas of claims risk management concerns for further improvements.
  • Organize and implement team engagement activities to foster closer team spirit and create work life balance environment.
  • Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements
  • University or college graduate holding appropriate professional qualification.
  • Good communications and presentation skills. 
  • Self-motivated and customer orientated.
  • Sound problem solving.
  • Time management skills.
  • Computer literate in MS Office.
  • Sound knowledge of Accident & Hospitalization claims.
  • Experience in Life insurance with an added advantage.
Medical Insurance Underwriter (Associate Level to Assistant Manager)
  • Accurately underwrite all products including medical underwriting by assessing the risks according to company guidelines and regulations.
  • Maintains a high level of accuracy (Quality) and always seek to improve individual quality scores with time
  • Ensure meeting individual productivity target and turn-around-time, always seek to improve individual productivity scores with time
  • Shows keenness to develop technical competency by extending underwriting scope or limits
  • Perform other responsibilities and duties periodically assigned by supervisor / manager in order to meet business requirements
  • Candidate must possess at least a Bachelor's Degree, Post Graduate, Professional Degree in Medical Science, Bioscience background, Insurance or Financial related qualifications
  • Candidate must have at least 3 years experience in medical underwriting with authority of +75% extra mortality, or 5 years in nursing, medical lab or any relevant medical background
  • Proficient in both written and spoken English & Mandarin. Passing Mandarin subject in SPM is a MUST
  • Customer oriented, self-motivated, proficient in Microsoft Office
  • Able to adapt desk-bound working environment, working shift including weekend on rotation basis & able to work overtime beyond normal office hour (including weekend & public holiday)
  • Experience in Corporate Solution Member Underwriting / Group member underwriting / Employee Benefit is an advantage
  • Proficient in MS Office.
  • Friendly working environment.

Similar Jobs

More Jobs

ENGLISH-SPEAK PHYSIOTHERAPIST in Johor (RM2.4K)

View

Private Nurse

View

Aesthetic Doctor

View

Insurance Claims Assesor / Underwriter (Medical Science/BioTech/Biology/Nursing)

View

Offsite Pharmacist Assistant

View

Clinic Assistant

View

Medical Director

View

Doctor / Medical Officer

View

PHYSIOTHERAPIST IN SETIA ALAM (RM2.0K)

View

PHYSIOTHERAPIST IN KOTA DAMANSARA (RM2.0K)

View

PHYSIOTHERAPIST IN KOTA KINABALU (RM2.0K)

View

Underwriter (Life / Medical - Manager /Assistant Manager/Specialist/Executive)

View

Pharmacist

View

Medical Product Specialist – based in Penang

View

VETERINARY ASISTANT

View

Nurse Manager (Multi Disciplinary)

View

PHARMACIST ASSISTANT

View

Staff Nurse / Clinic Assistant

View

Community Pharmacist

View

Pharmacist (Retail)

View

Nurse and Assistant Nurse

View

RESIDENT DENTIST

View

Pembantu Klinik Pergigian / Dental Assistant

View

Clinic Assistant

View

Retail Pharmacist cum Branch Manager

View

Pharmacist

View

Sales Manager (Southern)

View

TCM Assistant

View

PHARMACIST ASSISTANT

View

Medical Assistant

View

INTERNAL MEDICINE PHYSICIAN / JUNIOR CARDIOLOGIST

View

DOCTORS

View

Staff Nurse - URGENT HIRING!

View

Retail Pharmacist

View

Aesthetic Managing Doctor

View

Life / Medical Insurance (Claims or Underwriter) - (Junior or Senior)

View

Pharmacist

View

Staff Nurse

View

Dental Assistant/Nurse

View

Pharmacy Assistant

View

Popular Job Categories