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- A leading insurance provider in Kuala Lumpur is seeking a Claims Adjudicator to ensure accurate and timely processing of medical claims. The ideal candidate will possess a Bachelor's degree and a minimum of 5 years of experience in the insurance or medical sector. Responsibilities...
AIA Hong Kong and Macau
Kuala Lumpur19 hours ago - A leading insurance provider in Kuala Lumpur is seeking an experienced claims adjudicator. The role involves ensuring accurate and timely processing of claims, establishing proof of loss, and maintaining confidentiality of information. The ideal candidate has a Bachelor...
AIA Hong Kong and Macau
Kuala Lumpur19 hours ago - ...: -minimum of 3 years relevant experience in subsales practice areas - Solid knowledge of land office processes, stamping/adjudication, CKHT Filing & registrations. - Fluent in English & Bahasa Malaysia; Mandarin is an advantage - Meticulous, proactive, and deadline...
- ...possible or within a reasonable time frame. Conveyancing Legal Associate a) Solid knowledge of land office processes, stamping/adjudication, CKHT Filing & registrations. b) Fluent in English & Bahasa Malaysia; Mandarin is an advantage c) Meticulous, proactive, and...
- ...to the completed legalized documents and delivery of documents. Stamping of documents Assist with submission of stamp duty adjudication application for agreements/documents vide e-stamp portal; Check adjudication status on daily basis and extract the original...
Baker McKenzie
Kuala Lumpur5 days ago - ...management. Job Description ROLE DUTIES & RESPONSIBILITIES: This Role Is Accountable And Responsible For The Following ~ Adjudicate Accident & Health (A&H) claims and ensure delivery of prudent and equitable claims decision within expected service level....
Prudential Financial, Inc
Kuala Lumpur7 days ago - ...you to develop industry expertise and collaborate with internal stakeholders across several sectors of the Business; including Adjudication, Corporate Banking, Global Credit and other Capital Markets areas. This role also requires you to pay-it-forward, as such you are...
- ...followed by setting and maintaining rules in the claims platform . to cooperate with AI team to develop AI based claims STP adjudication . to work with Tech & LBUs on driving standardization in claims process, challenge deviations requested and document the deviations...
Prudential Financial, Inc
Kuala Lumpur5 days ago - ...Identify potential cost control without compromising patient care. Prepare clinical summaries and recommendations for claim adjudication. Ensure documentation meets regulatory and payer requirements. High and Complex Claim Analyze and review high-cost and...
Henner Group
Kuala Lumpur19 days ago - ...industry developments and emerging trends as well as their implications from a regulatory/compliance perspective. Day-to-day adjudication of name screening alerts and/or transaction monitoring alerts. Any other duties as may be assigned. Capabilities And...
Allianz
Kuala Lumpur23 days ago - ...Life /General Insurance Industry or any of the Insurance Certification e.g. LOMA certificate, FLMI, ICA, AII, ACII, AMII, STPM. Knowledge in Personal Accident claim processing or adjudicating background will be an advantage. Fresh graduate is welcome to apply....Kuala Lumpur7 days ago
- ...ensure that compliance procedures are followed; Conduct quality assurance on the Recommendations issued by the Case Managers and the Adjudication Decisions issued by the Ombudsmen. Policy and Strategy Development – Oversee the development of policies and policy related...
Financial Markets Ombudsman Service (FMOS)
Kuala Lumpur19 days ago - ...Ensure completeness of Claims / Guarantee Letter Pre-certify documents in compliance to Company's requirements and guidelines Adjudicate medical claims by following the organization guidelines & within the assigned authority limit. Establish covered medical insurance...
AIA Malaysia
Kuala Lumpur17 days ago - ...resolutions for a diverse range of non-motor insurance policies in Hong Kong. We will count on you to: Registration, Processing and Adjudication of claims (General Insurance) within turnaround time. Assists in the determination of claim liabilities, value, and service...
Marsh Risk
Kuala Lumpur5 days ago - ...Ensure completeness of Claims / Guarantee Letter Pre-certify documents in compliance to Company's requirements and guidelines Adjudicate medical claims by following the organization guidelines & within the assigned authority limit. Establish covered medical insurance...
AIA Group
Kuala Lumpur7 days ago - ...compliance with contractual timelines, milestones, and obligations Assist in dispute resolution processes, including mediation or adjudication support Requirements & Qualifications ~ Bachelor’s Degree in Quantity Surveying, Construction Management, Engineering, or a...
Businesslist
Kuala Lumpur19 hours ago - ...Todayjob requisition id: 26002265**Role Overview**The Claims Supervisor is accountable for the accurate, timely, and compliant adjudication of health and benefits claims in line with contractual benefits, regulatory requirements, and company policies.The role provides...
Cigna Health and Life Insurance Company
Kuala Lumpur1 day ago - ...assurance experience preferred. Certifications/Licenses: Any industry-related medical or healthcare certification (e.g., claims adjudication, healthcare audit, or insurance-specific certifications). Strong analytical and audit skills. Knowledge of insurance...
AIA Group
Kuala Lumpur7 days ago - ...share/asset transfers, real property-related instruments, intragroup restructurings), including reliefs and exemptions, and manage adjudication strategies. - Assess withholding tax implications (royalties, interest, technical/management services, digital/telecom...
KPMG PLT
Malaysia2 days ago - ...dispute resolution process, including the work of the Secretariat to SIDREC Appeals Committee Conducting mediation of cases Adjudicating and issuing of awards Escalating areas of concern to the CEO, including case management matters that may require the CEO’s...
Sidrec
Kuala Lumpur1 day ago - ...analysis and related tools. Good computer skill and knowledge. Strong knowledge of health and life insurance products, claims adjudication, and regulatory frameworks. Proven experience in managing large-scale projects and cross-functional teams. Self-driven,...
Prudential Financial, Inc
Kuala Lumpur7 days ago - ...Clarification (AUC) and case management, regular audits, and handle critical issues to identify Fraud, Waste and Abuse. To ensure claim adjudication is in accordance with reasonable and customary charges and to review trending of doctors / members / agents that may or may not...
AIA Malaysia
Kuala Lumpur26 days ago - ...with more than 25 years of experience in various construction projects. Our company undertakes planning, design, cost estimate, adjudication, supervision, management, co-ordination, and commissioning of various industrial factories, warehouses, commercial buildings, residential...
Megapowerconsultants
Johor Bahru4 days ago - ...with more than 25 years of experience in various construction projects. Our company undertakes planning, design, cost estimate, adjudication, supervision, management, coordination, and commissioning of various industrial factories, warehouses, housing, etc. The candidate...
Megapowerconsultants
Johor Bahru4 days ago - ...provider in Kuala Lumpur is seeking a Claims Supervisor to lead the claims processing team. This role requires overseeing claims adjudication to ensure accuracy and compliance with policies. The ideal candidate should have 5–7 years of experience in medical claims...
Cigna Health and Life Insurance Company
Kuala Lumpur1 day ago - ...everything we do. About the role We are seeking an Outpatient Claims Executive (1 Year contract) who will provide accurate adjudication of Health insurance claims submitted by our clients. The ideal candidate will have a mindset of continuous improvement and...
Doctor Anywhere Pte Ltd
Petaling Jaya3 days ago - ...service questions and suggesting information about other products and services. Make decisions, on behalf of ICF, in relation to adjudication of claims under the terms and conditions, client expectations and service level expectations. Able to show initiative to take...
Businesslist
Kuala Lumpur1 day ago - ...healthcare provider in Petaling Jaya is hiring an Outpatient Claims Executive for a 1-year contract. The role involves managing and adjudicating health insurance claims, ensuring timely processing, and maintaining relationships with clients. Ideal candidates will have at...
Doctor Anywhere Pte Ltd
Petaling Jaya3 days ago - ...with more than 25 years of experience in various construction projects. Our company undertakes planning, design, cost estimate, adjudication, supervision, management, coordination, and commissioning of various industrial factories, warehouses, commercial buildings, residential...
Megapowerconsultants
Johor Bahru4 days ago - ...and Hong Kong including:* Conducting comprehensive Due Diligence and Periodic Reviews to ensure compliance and risk mitigation.* Adjudicating Level 2 (L2) Alerts through thorough investigative reviews and/or direct customer outreach, covering: + Name Screening Alerts +...
OCBC company
Kuala Lumpur3 days ago
