Overview

Medical Claims Processor Jobs in Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia at Ambition

Title: Medical Claims Processor

Company: Ambition

Location: Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia

Are You Ready to Build a Career at the Heart of Healthcare Insurance?
If you have a keen eye for detail and a passion for delivering accurate, efficient support in a dynamic environment, this permanent opportunity in Petaling Jaya could be your next great move. Our client is a well-established healthcare insurance services provider playing a critical role in connecting insurers, members, and healthcare providers – and they're looking for a dedicated Claims Executive to join their team.

Why Apply?
This is your chance to be part of a purpose-driven organisation where your work has a direct and tangible impact. You'll operate at the intersection of healthcare and insurance, gaining hands-on experience in a fast-paced, people-focused setting where accuracy and service excellence are genuinely valued.

The Role
Day to day, you'll be responsible for:

  • Evaluating and processing submitted medical claims accurately and within agreed timeframes
  • Scrutinising claim submissions to confirm completeness and regulatory compliance
  • Assessing policy terms to determine member eligibility and coverage entitlements
  • Coordinating with insurance providers to facilitate approvals and resolve outstanding issues
  • Maintaining well-organised and up-to-date records across all claim activities
  • Acting as a first point of contact for member queries, delivering clear and professional responses

What We're Looking For
The ideal candidate will bring:

  • Practical experience in a claims processing role within the insurance or healthcare sector
  • A solid grounding in insurance products, policy structures, and industry terminology
  • Meticulous attention to detail with a strong commitment to accuracy
  • Effective communication and interpersonal skills suited to a member-facing environment
  • The resilience and composure to perform well in a high-volume, fast-moving setting

Ready to take your next step in the healthcare insurance space? Apply now – we'd love to hear from you.
JTK Number: JTKSM 995 | Company Registration Number: 201301019088 (1048918-T)

Upload your CV/resume or any other relevant file. Max. file size: 800 MB.