Career Flow Hiring! Full Time Claim Admin (Rotational Shift) in Selangor, Earn up to MYR 4,500 - Ricebowl

Role Overview

We're looking for a detail-oriented, service-driven Claim Processor to handle inpatient hospital admissions and the related insurance processes. You'll check patient eligibility, review policy coverage, coordinate admission requests and support patients from start to finish of their admission.

Key Responsibilities

• Serve as the main contact for patients on inpatient admissions and related questions.
• Process and coordinate admission requests accurately, in line with insurance policies, procedures and service standards.
• Assess policy terms and coverage to decide on admission approval and benefit entitlement.
• Review patient records, admission documents, accounts and supporting details to enable accurate, timely processing.
• Respond to patients' admission, coverage and claim queries with clarity, professionalism and empathy.
• Look into and resolve patient concerns quickly, referring complex issues or complaints to the right stakeholders when needed.
• Keep thorough, accurate records of all admission activities, communications and decisions.
• Work closely with internal teams and stakeholders to keep the admission process smooth and well coordinated.
• Complete all requests, instructions and queries within agreed turnaround times and service levels.
• Handle sensitive patient and insurance information with accuracy, confidentiality and professionalism.
• Support ongoing process improvements to boost efficiency and the customer experience.

Key Competencies

• Sharp eye for detail with strong analytical skills.
• Able to work on 24/7 rotational shift, public holiday and weekends
• Excellent communication and customer service skills.
• Able to understand and apply insurance policy terms and conditions.
• Good problem-solving and conflict-resolution skills.
• Well organised with strong time management.
• Able to work independently and as part of a team.

Pay: RM2,500.00 - RM4,500.00 per month

Benefits:

• Health insurance
• Opportunities for promotion
• Professional development

Work Location: In person