Mohamad Firdaus Bin Mohd Amin
MEDICAL CLAIMS EXECUTIVE
PETALING JAYA
Summary
Dedicated individual with experience in achieving tangible results and cross-team collaboration. Proactive and excited to partner with likeminded individuals to achieve goals. Being a good caliph to prosper the ummah.
Overview
8
8
years of professional experience
3
3
Languages
Work History
CLAIMS EXECUTIVE
MHC MEDICAL NETWORK SDN BHD
09.2024 - Current
- Processed, adjudicated, and settled medical insurance claims
- Verified policy coverage and medical documentation
- Coordinated with TPAs and network hospitals
- Adhere to Turnaround Time (TAT) standards for claim settlement
- Process claims under Singapore's Integrated Shield Plans (IPs) and MediShield Life
- Handle claims from public hospitals (SingHealth, NHG) and private healthcare groups
- Apply Ministry of Health (MOH) fee benchmarks and Medisave regulations
- Coordinate with panel clinics and hospital admissions offices
- Process pre-approvals for day surgeries and specialist consultations
Admission executive
MediExpress (Malaysia) Sdn Bhd
02.2023 - 06.2023
- Act as the primary contact for customers related to Health insurance policies and products
- Provide excellent customer service and handle customers’ enquiries
- Accurately process hospital admissions/discharge based on Health insurance policies
- Determine eligibility based on policies Communicate and document information in a professional, clear, consistent & accurate format
- Relay information to appropriate departments and personnel using established communication channels and procedures
- Reading and understanding all related account and admission notes
- Resolve enquiries from patients and escalate issues or complaints.
- Deal with all instructions, queries, and service requests promptly, accurately and within company-specified time frames
Contact Centre Admin Executive
Promicom Services (M) Sdn Bhd
08.2018 - 01.2023
- Issuance of Initial Guarantee Letters (IGLs), Additional Guarantee Letters (AGs), Cross Referrals (CRs)
- Responding to Emails, Faxes, SMSs, Member Portal & Mobile Application requests and manual upload of documents
- Monitor and train new agents to process of Final Bills (FBs) - In Patient & Outpatient
- Processing of Final Bills (FBs) - In Patient & Outpatient
- Filter the Final Bills (FBs) and issuing Final Guarantee Letters (IGLs).
Store Associate
Chartered Accountants; Radzi & Co. Senawang
02.2018 - 06.2018
Education
Bachelor of Corporate Administration and Relations - Business and Muamalat
Universiti Sains Islam Malaysia
Malaysia01.2018
Sijil Tinggi Agama Malaysia - undefined
Kulliah Al-Lughah Waddin As-sultan Abu Bakar Pahan
Malaysia01.2013
Sijil Pelajaran Malaysia - undefined
Sekolah Menengah Agama Al-Basriah Kuala Tembeling
Malaysia01.2012
Skills
Integrated health management systems
Adobe Photoshop
Data centre
MYOB accounting skills
Excel spreadsheet management
Power Point
Customer relations
Collaborative team member
Effective team leadership
Administrative skills
Workforce education
Interests
Volleyball, Football, Badminton
Timeline
CLAIMS EXECUTIVE
MHC MEDICAL NETWORK SDN BHD
09.2024 - Current
Admission executive
MediExpress (Malaysia) Sdn Bhd
02.2023 - 06.2023
Contact Centre Admin Executive
Promicom Services (M) Sdn Bhd
08.2018 - 01.2023
Store Associate
Chartered Accountants; Radzi & Co. Senawang
02.2018 - 06.2018
Sijil Tinggi Agama Malaysia - undefined
Kulliah Al-Lughah Waddin As-sultan Abu Bakar Pahan
Sijil Pelajaran Malaysia - undefined
Sekolah Menengah Agama Al-Basriah Kuala Tembeling
Bachelor of Corporate Administration and Relations - Business and Muamalat
Universiti Sains Islam Malaysia
References
- Md Shamsul Bahri Bin Zolkaple, Manager, mdshamsulbahri.z@gmail.com, 016-2334014, FWD Takaful Berhad, Malaysia
- Muhamad Jeffri Bin Zulkifli, Assistant Vice President Mediexpress (M) Sdn Bhd, mjeffri@medix.com.my, 012-2954324, Mediexpress (M) Sdn Bhd, Malaysia
AWARD & EXTRA CO-CURRICULAR ACTIVITIES
Company Secretary, Accountant and Tax Agent Department for Radzi & Co Senawang., Chief Operating Officer (COO) of iCEPs 13, iCEPs Programme Business Model Canvas Competition, Forum "Rahsia Makanan Sunnah", Cooking Competition, Universiti Sains Islam Malaysia., Protocol unit committee for Program Taaruf Bachelor of Corporate Administration and Relation (BCAR)., Unit committee for Sekretariat Pendakwah Muda Malaysia USIM (SPMM)., Director For Programme Minute Writing Workshop With MACS., Activity unit committee for Global Islamic Student Outreach (GISO) in Krabi, Thailand., Logistics unit committee members of Programme MAICSA & PUNB in USIM., Volleyball (Second Place), Football (Third Place), Tilawah Al-Quran (Third Place) for MASISUPA 2012., Security unit for International Youth Diale Convention in USIM.
RELEVANT COURSEWORK
- Shariah Audit
- Business Economic
- Business Accounting
- Malaysian Economic
- Organizational Behaviors
- Business Statistic
- Commercial Law
- Management Accounting
- Malaysian Taxation and Zakat Administration
- Principle of Financial Management
- Corporate Taxation and Zakat
- Corporate Financial Management
- Corporate Administration
- Company Law - Risk Management
- Investor Relation
- Corporate Governance
- Human Capital Development
- Corporate Secretary