Get new jobs by email
- 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...
Allianz Malaysia
Kuala Lumpur2 days ago - 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 Lumpur1 day 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 Lumpur1 day ago - ...motivators. Monitor and highlight high-cost claims and ensure relevant parties are aware. Follow Claim Manual and SOP strictly adjudicate claims according to benefit policies and meet both financial/procedure accuracy and TAT target on claims adjudication. Adjust...
- ...effective claims management. 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 Services Asia
Kuala Lumpur1 day ago - ...Lead the defense against contractor claims or the preparation of owner claims. Facilitate dispute resolution through Dispute Adjudication Boards (DAB), mediation, or arbitration as required. 3. Procurement & Tendering Assist in developing the procurement strategies...
SMEC
Kuala Lumpur4 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 Lumpur2 days ago - ...role of Insurance Claims Executives (Cantonese Speaking) Responsibilities Analyzes and approves claim that cannot be auto adjudicated Apply medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies Apply all...
Genpact
Subang Jaya16 days ago - ...experience handling Property and/or Casualty claims, including Work Injury Compensation Familiarity with policy wordings, claims adjudication, and end-to-end claims administration Knowledge of insurance regulations and claims operations is an advantage CGI (...
Crawford & Company - Asia
Kuala Lumpur2 days ago - ...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
Kuala Lumpur1 day ago - ...specializing in the administration and claims support for travel, health, and accident insurance. Provides enrollment, claims adjudication, and customer support services for insurers globally, including North America, Europe, and Asia. Job Responsibilities:...
Ingenious Job
Kuala Lumpur6 days ago - ...investigators in highly sensitive HR and Employee Relations issues, including analyzing data from various internal systems; approving case adjudication; proposing remedial action based on investigation findings; production of thorough investigation documentation Analyze...
Western Digital
Pulau Pinang3 days ago - ...Description: Organize and investigate employee complaint cases in an efficient and timely manner. Fact finding, investigation and adjudication of employee violations of code of conduct in a fair and transparent manner. Interact with employees in response to employee...
Shopee
Malaysia13 hours 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...
- ...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 provider...
Marsh Risk
Kuala Lumpur1 day 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 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 Malaysia
Kuala Lumpur1 day ago - ...for clarification of drug-related queries. Medical & Technical Assessment Provide expert pharmaceutical opinion for claim adjudication and approvals. Verify drug interactions, contraindications, and therapeutic relevance. Maintain updated knowledge of formulary...
Doctor Anywhere Pte Ltd
Petaling Jaya4 days ago - ...version control and document circulation. 2. Conveyancing Administrative Support • Coordinate conveyancing tasks including adjudication, stamping, execution, lodgment, and collection of instruments. • Liaise with external lawyers, banks, and authorities for documentation...
Tropicana Corporation Berhad
Selangora month 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 Lumpur1 day ago - ...Position Objective: Ensure claims are adjudicated accurately and in a timely manner by establishing the validity of loss through assessment of medical documentation & assembling additional information as required. Roles and Responsibilities Ensure completeness...
AIA Malaysia
Kuala Lumpur1 day ago - ...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 provider...
Marsh
Kuala Lumpur1 day 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 Bahru5 days 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 Lumpur1 day 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 Lumpur2 days ago - ...healthier, more sustainable future for everyone. Sound like you Then read on. About the Role Ensure claims are adjudicated accurately and in a timely manner by establishing the validity of loss through assessment of medical documentation & assembling additional...
AIA Group
Kuala Lumpur1 day 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 Bahru5 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 Bahru5 days ago - ...Determination: Assessing policy coverage to determine whether the claim falls within the scope of the policy and its limitations. Adjudication: Making final decisions on claim settlements and payments based on policy terms, investigation results, and legal considerations...
Allianz Popular SL.
Kuala Lumpur3 days ago - ...claims, excellent communication skills, and the ability to work independently while being a team player. Responsibilities include adjudicating claims, managing investigations, and ensuring adherence to service levels. A strong command of English and basic Chinese...
Prudential Hong Kong Limited
Kuala Lumpur2 days ago
