Claim Analyst

Job Summary

Responsible for supporting end-to-end claim submission, verification, documentation, and collection tracking activities for NADI and other USP programmes. The role ensures claims are accurately prepared with complete supporting documents, submitted within regulatory timelines, and monitored through verification and reimbursement stages to support annual collection targets.

Key Responsibilities

• Prepare and support monthly, quarterly, and yearly claim submissions for NADI and USP programmes in accordance with MCMC requirements.
• Ensure invoices, payment records, official receipts, and supporting documents meet claim submission requirements.
• Compile, organize, and maintain claim documentation and supporting evidence in an audit-ready format.
• Perform data extraction, reconciliation, and analysis to ensure claim accuracy and completeness before submission.
• Monitor claim submission status, MCMC verification status, reimbursement progress, and outstanding collections.
• Support claim verification workshops, audits, and compliance reviews conducted by MCMC by providing required documentation and clarifications.
• Maintain accurate claim databases, trackers, and filing systems for all claim submissions and collection activities.
• Prepare claim status updates, collection reports, invoice verification reports, and management dashboards.
• Ensure claim submissions comply with MCMC guidelines, internal governance requirements, and audit standards.
• Identify and recommend process improvement opportunities to enhance claim processing accuracy, efficiency, and reimbursement turnaround time.

Requirements

• Bachelor’s Degree in Finance, Accounting, Business Administration, Economics, Engineering, or related field.
• Minimum 2 years of experience in claims management, finance operations, regulatory submissions, programme governance, or project administration.
• Experienced in SAP Reporting.
• Experienced in invoice reconciliation.
• Advanced documentation management skills.
• Experienced in audit compliance processes.
• Advanced proficiency in Microsoft Excel and data analytics.
• Strong analytical, organizational, and documentation skills.
• Able to manage multiple tasks and maintain accuracy in a compliance-driven environment.

Added Advantage

• Experience handling regulatory submissions and claims related to government or industry programmes.
• Exposure to MCMC guidelines, verification processes, audits, or compliance reviews.

Pay: RM3,000.00 - RM4,000.00 per month

Benefits:

• Opportunities for promotion
• Professional development

Work Location: In person