Associate, Claims Support

Great Eastern Lihat semua pekerjaan

  • Kuala Lumpur
  • Tetap
  • Sepenuh masa
  • 2 hari lepas
Are you passionate about making a meaningful impact on Life and Healthcare insurance space?Join us as Claims Support Associate, where you’ll play a vital role in ensuring our policyholders receive accurate and timely claim payment when they need it most. In this role, you will play a critical part in ensuring claims submissions and reserves are registered accurately, processed efficiently, and supported by complete and well organized documentation—enabling smooth downstream claims assessment and excellent customer experience. You will also be supporting the administrative duties for end to end claim processing and given the opportunity to participate in continuous process improvement initiatives, enhancing overall customer’s experience. * Claim Registration & Payment Admin
  • Handle end to end claims registration and setting reserves in the core and workflow imaging systems with high accuracy and within required turnaround time (service standards).
  • Conduct screening of claim documents and verify policy information, including customer’s details, policy number, coverage, policy status with full attention to detail and ensuring submissions are complete and valid.
  • Handle payment requisitions, payment rejections and payment escalations for approvals.
  • Request for claim documents for incomplete submissions and proactively invite for death claim submissions.
  • Claims Documentation & Records Management
  • Perform screening, sorting and recording of incoming documents from digital submission channel.
  • Prepare and manage claim documents, including merging, splitting, and organizing submissions based on benefit type and provider category.
  • Cross check information across different product systems to achieve seamless claim experience
  • Customer & Business Partner Relations
  • Liaise professionally with policyholders, claimants, agents, medical providers and internal stakeholders to follow up on outstanding requirements and ensure smooth claims processing.
  • Provide excellent service and build strong working relationships with customers and distribution channels through responsive and empathetic support to achieve smooth claims processing operations.
  • Compliance, Process Improvement & Team Support
  • Adhere to internal policies and external regulatory requirements to maintain integrity and trust in our claims operations.
  • Support continuous improvement initiatives, process enhancements, and system improvements within the claims function.
  • Take on ad hoc administrative or operational tasks as assigned by the supervisor.
Qualifications
  • Diploma or degree holder in business or healthcare administration, preferably with 1 to 3 years of experience in claims administration, operations support, or customer service
  • Fresh graduates with strong interest in insurance claims are welcome to apply
  • Customer-centric and meticulous with the ability to work under pressure
  • Possess good communication skills and a proactive approach to problem-solving
  • Are eager to learn and grow in a fast-paced, collaborative environment that values innovation and service excellence

Great Eastern