Summary
Location
Kuala Lumpur
Type
full-time
Are you the employer? Manage your company page directly.
About this role
THE POSITION
Our Medical Department is currently recruiting a "Nurse Coordinator W/M" for a permanent position (CDI) at our Kuala Lumpur site.
The Nurse Coordinator will serve as a key role for day-to-day medical claim assessment, managing high-value and complex medical claim. This role involves comprehensive medical file review, coordination of patient care, and collaboration with internal and external stakeholders to ensure accurate claim assessment and optimal patient outcomes.
If you choose to join us, your main responsabilities will be to:
Medical Claim Assessment
- Validate medical necessity and treatment plans against evidence-based standards.
- 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 complex medical claims for accuracy, appropriateness, and compliance with clinical guidelines.
- Assess patient medical records, diagnostic reports, and treatment histories for reporting to the client and insurers.
Patient Management & Care Coordination
- Act as a liaison between patients, healthcare providers, and various Henner stakeholders (client service team, sales team, etc)
- Coordinate care plans for patients with complex medical needs, ensuring continuity and quality of care.
- Provide patient support for treatment adherence and recovery.
Stakeholder Collaboration
- Work closely with admin team, doctors, and managers within the department to resolve discrepancies.
- Participate in collective discussions among team on complex cases to enhance knowledge and skills enhancement.
YOUR PROFILE
You hold a Bachelor’s Degree in Nursing and a Registered Nurse (RN). You have a minimum of 2 to 3 years in clinical experience in the healthcare field, providing you with strong professional and technical expertise.
You stand out for your interpersonal and organizational skills, including:
- Good knowledge of medical terminology, clinical guidelines, and insurance processes (optional).
- Excellent analytical and critical thinking skills.
- Effective communication abilities.
- High sense of customer service.
- Good understanding of process management.
- Proficiency in office tools and software (Microsoft Office Suite, etc.)
- Strong language proficiency in English.
WHY JOIN US ?
By joining our teams, you will benefit from training, full support in our jobs and tools, and close management guidance.
You will enjoy all the social benefits provided to our employees: meal allowance, 100% coverage of the basic individual or family health insurance, and reimbursement of transport costs.
You are guaranteed a good work-life balance thanks to our company agreements and a flexible work organization allowing you to work remotely up to 2 days per week, or even 3 days for people with disabilities, caregivers, or pregnant employees - in accordance with Henner's internal policy.
HENNERINT
Henner, an international and independent group, creates, manages, and markets innovative solutions in personal insurance. We are 1,850 employees present in 20 countries worldwide. Every day, we support 64,000 client companies and 2.3 million beneficiaries.
Our expertise in social protection is summed up in one word: Caring. Caring is much more than an idea. It’s a promise that Henner makes to its clients and partners to carry out its social protection consulting, brokerage, and management services with a constant focus on providing exceptional care and attention to the quality of its support.
Other facts
About Henner
Our social protection expertise can be summed up in one word: caring.
Caring is more than just an idea. It’s about how we think and act. We promise our customers and partners that we will provide advice on social protection, brokerage and management of health schemes and take great care in providing them with quality support.
This has been a Henner tradition since our creation in 1947.
As an independent international Group*, we have become a key player in social protection in France while also developing real expertise in international healthcare insurance. But we always remain true to our founding principle. We will always protect our customers as if they were our loved ones, and we will be there for them whenever they need us.
Committed to providing tailored advice according to the needs of our customers and partners, we create and manage innovative health insurance solutions and products that we market directly or via our network of partners in France and worldwide. We also offer solutions for life and disability insurance, pensions, employee savings and employee share ownership.
Our mission is also to facilitate our policyholders’ access to quality medical network, regardless of their location, and to offer preventive healthcare and wellbeing in the workplace programmes for our customers.
We are there for our customers whenever and wherever they need us. That’s how caring we are at Henner.
What you'll do
- The Nurse Coordinator will assess medical claims, validate treatment plans, and coordinate patient care. This role involves collaboration with various stakeholders to ensure optimal patient outcomes.
Join Clera's Talent Pool
Get matched with similar opportunities at top startups
This role is hosted on Henner's careers site.
Join our talent pool first to get notified about similar roles that match your profile.