Deskripsi Pekerjaan
Join IA International Assistance as an Executive Claims Analyst and play a pivotal role in our insurance operations. This position offers the opportunity to specialize in medical insurance claims processing while working with a global leader in assistance services. You'll be at the forefront of ensuring accurate claim assessments, regulatory compliance, and exceptional service delivery to our clients across Southeast Asia.
In this dynamic role, you'll leverage your analytical skills to evaluate complex medical claims against established guidelines and policies. You'll collaborate with healthcare providers, policyholders, and internal stakeholders to resolve discrepancies and ensure timely claim settlements. The position requires meticulous attention to detail, strong ethical standards, and the ability to thrive in a fast-paced environment where precision directly impacts customer satisfaction and regulatory compliance.
IA International Assistance offers a supportive work culture with competitive compensation and growth opportunities. If you're passionate about insurance operations and seeking a challenging career path in Petaling Jaya, this role provides the perfect platform to advance your professional journey while making a tangible impact in the insurance industry.
Tanggung Jawab
- Assess and process medical insurance claims according to established guidelines and regulatory requirements
- Review claim documentation for accuracy, completeness, and compliance with policy terms
- Investigate claim discrepancies by coordinating with healthcare providers and policyholders
- Maintain detailed records of claim assessments and resolution processes
- Analyze claims data to identify trends and recommend process improvements
- Ensure adherence to Health Insurance and Medical industry standards and company protocols
- Communicate claim decisions and resolutions to stakeholders professionally
Kualifikasi
- Bachelor's degree in Healthcare Administration, Business, Finance, or related field
- Minimum 2-3 years of experience in claims processing or insurance operations
- Strong knowledge of health insurance regulations and industry standards
- Excellent analytical and problem-solving abilities
- Proficiency in claims management software and MS Office applications
- Exceptional communication and interpersonal skills
- Attention to detail with high accuracy in documentation
- Ability to work independently and meet deadlines in a fast-paced environment