Claims Executive

About us
MSH International is a global leader in international health and life insurance solutions. With over 1,400 staff across 6 regional offices worldwide and 50 years of expertise, we are proud to offer tailored services to our members. As a multinational company, we are committed to nurturing young talents and providing excellent career growth opportunities.

Whether you have experience in medical claims or are a fresh graduate eager to learn, we invite you to join us!

Position – Claims Executive

Role & Responsibilities

• Process reimbursement claims from members and hospital claims, ensuring alignment with client contracts and SLAs.
• Manage relationships with insured members, healthcare providers, and stakeholders, supporting portfolio management and related activities.
• Process reimbursement claims by:
  • Verifying the insured member's coverage.
  • Confirming up-to-date premium payments when necessary.
  • Checking rates (Usual Customary Rates) and applicable discounts.
  • Ensuring compliance with contractual terms.
  • Updating databases with accurate claim information.
  • Inputting payment statements into the system and resolving rejected payments.
  • Providing payment summaries for senior review.
  • Managing external data integration from third parties.
• Handle regularization requests, undue payments, returned payments, and specific cases.
• Provide support and information to insured members via telephone (level 2 and overflow), mail, and email.
• Manage and resolve complex cases in collaboration with the high claims team, medical team, and department managers.
• Follow up on client requests and complaints to ensure timely and effective resolution.

Qualifications & Experience
We are looking for candidates with the following profile:

• Diploma or Bachelor’s Degree in Medical Sciences, Languages, or Office Administration.
• Previous experience or internships in:
  • Insurance industry, Third Party Administration, or Call Centers.
  • Customer Service, administrative roles, or similar functions.
• Proficiency in Microsoft Office, especially Excel, and familiarity with email and internet tools.
• Language skills: Fluency in English is required. Proficiency in one or more additional languages (e.g., French, Spanish, Thai, Korean, Japanese) will be a strong asset and may command a higher salary.

Skills

• Exceptional communication skills (both oral and written).
• Keen attention to detail and ability to manage diverse insurance contracts accurately.
• Strong organizational skills with a focus on prioritization and efficiency.
• High levels of accuracy and assiduity in work.
• Ability to multitask, adapt to changing situations, and work under pressure.
• Strong customer service skills, including diplomacy, tact, and active listening.
• Proficient planning and time management capabilities.
• Knowledge of medical terminology is a plus.
• Team player with a collaborative mindset.

What we offer

• A dynamic and multicultural work environment.
• Comprehensive training and mentorship for fresh graduates.
• Support from experienced professionals to help you succeed in your role.

Apply now and grow your career with MSH International!