EBen Assist Hiring! Full Time Claims Processor in Federal Territory - Ricebowl

We are a Third Party Administrator (TPA) for medical benefits administration, located at KL Sentral.

We are looking for Claims Processors to join our team. This position is suitable for SPM/STPM leavers, fresh graduates, or candidates without prior insurance/claims experience who are willing to learn and build a career in the insurance and employee benefits industry.

Training will be conducted in Petaling Jaya. Upon successful completion of the training, the permanent work location will be at KL Sentral.

Training will be provided. The ideal candidate should be a fast learner, independent, responsible, and comfortable working in a fast-paced environment.

Job Responsibilities

• Process and manage medical claims accurately and efficiently.
• Review claim documents, medical bills, receipts, and supporting documents.
• Verify claims against applicable policy terms, benefits, and coverage limits.
• Key in and update claims information accurately in the system.
• Follow up on incomplete or missing documents from hospitals, clinics, employees, or relevant parties.
• Liaise with hospitals, clinics, employees, insurance companies, and clients regarding claims matters.
• Assist with claims enquiries and provide appropriate information to clients and employees.
• Monitor claims status and ensure cases are processed within the required turnaround time.
• Maintain proper records and documentation for all claims.
• Perform other claims-related administrative duties as assigned.

Requirements

• SPM leavers and fresh graduates are encouraged to apply.
• Candidates with no prior insurance or claims experience are welcome.
• Good command of English, both written and spoken, as our claims system and documentation are mainly in English.
• Must be able to read, understand, and communicate effectively in English.
• Fluent in Bahasa Malaysia is required, as most of our clients and members are Malaysian.
• Mandarin-speaking candidates will have an added advantage.
• Computer literate and comfortable learning new systems and software.
• Fast learner with good attention to detail.
• Able to work independently with minimum supervision.
• Responsible, organised, and able to manage multiple tasks.
• Good communication and interpersonal skills.
• Comfortable working in a shift-based environment, including weekends/public holidays when required.
• Able to work under pressure and meet daily processing deadlines.
• Must possess own transportation and be able to commute independently during the training period in Petaling Jaya and subsequently to the office at KL Sentral.
• Candidates should have suitable accommodation/housing arrangements that allow them to report to work reliably according to the assigned shift schedule.

We Are Looking For Someone Who Is

• Independent and takes ownership of their work.
• Fast-learning and willing to learn about medical claims and insurance benefits.
• Detail-oriented, especially when checking documents and claim information.
• Proactive and able to solve routine issues independently.
• Adaptable and comfortable working in a fast-paced environment.
• A good team player with a positive attitude.
• Reliable and committed to working according to the assigned shift schedule.
• Training & Work Location
• >> Training: Petaling Jaya
• >> Permanent Office: KL Sentral

Candidates must be prepared to travel to Petaling Jaya during the training period. Upon completion of training, the candidate will be based at our KL Sentral office.

Why Join Us?

• SPM leavers and fresh graduates are welcome.
• No prior insurance experience required – training will be provided.
• Gain practical experience in the medical insurance and employee benefits industry.
• Develop skills in claims processing, customer service, administration, and insurance operations.
• Opportunity for career growth within the company.

Interested candidates are invited to submit their resume and application. Only shortlisted candidates will be contacted.

Benefits:

• Health insurance
• Professional development

Education:

• STM/STPM (Preferred)

Language:

• Bahasa (Required)
• English (Required)

Work Location: In person