Claims Representative (GEH APAC)
On-site · Kuala Lumpur, Kuala Lumpur, Malaysia
Job Summary
Processes claims from members and providers; assists queries from providers and payers via phone calls or e-mails; maintains files for authorizations and other reports; adjudicates claims per benefit policies; ensures accuracy, data input quality, and timely processing; works to meet SLA/KPI targets and quality audits; collaborates with cross-functional teams (Finance, CSR, Eligibility, Network, Client Management); supports recoupment, reconciliation, and communication with providers and members; requires strong MS Office skills and excellent written and verbal communication; adaptable to shifts and potential overtime; preferred experience in medical insurance and terminology.
Required Qualifications
- At least 1-2 years of experience in a similar claims processing role.
- Experience in an international company is preferred but not essential.
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