Executive, Claims Adjudicator (24/7 Cashless Administration)

Does customer satisfaction inspire you

This role is to process and review all medical/ health claims within specified authority limit and ensure that payments are made within the turnaround time (TAT)

You'll Be Responsible For

• To assess and process all health/ medical claim for reimbursement in line with policy guidelines within authority limit
• Responsible for the day-to-day 24/7 operations for guarantee facilities (hospital admission and discharge)
• To be responsible for claim settlement and ensure payments are process within the agreed turnaround time and service standard
• To support Helpline team with enquiries pertaining to medical reimbursement
• Familiarity with using ChatGPT for automating routine tasks and enhancing productivity
  
  

Important To Your Success

• Diploma/ Degree in any medical or health science related field of study
• Minimum 2 - 3 years working experience in healthcare related industry; knowledge in medical/ health claims
• Possess good communication skill and good command of spoken and written English and Bahasa Malaysia
• Meticulous and attention to details
• Able to work independently in a 24/7 fast-paced environment
• Result-oriented with sense of urgency towards True Customer Centricity
• Demonstrates ability to work as a team to deliver Allianz's enhanced customer experience journey
• Proficient in the use of AI tools such as ChatGPT, Copilot, or similar technologies to enhance productivity and work quality.
• Applicants must be willing to work in KL Sentral
  
  

Disclaimer: Thank you for your interest in joining our team. Due to the high volume of applications we receive, we are unable to provide individual feedback to every applicant. If you do not hear from us within 14 days of submitting your application, please assume that you have not been selected for this position.

Important: All updates regarding your application status will be communicated via email. Please ensure you frequently check your email for updates and further instructions.

Note: Allianz will not accept any forward unsolicited resumes from any source to our employees email other than directly from a candidate. We will not be responsible for any fees and charges impose.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Great to have you on board.Let's care for tomorrow.