Summary
Overview
Work History
Education
Skills
Software
Timeline
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Wen Pin Yong

Wen Pin Yong

Claim Adjudicator
Gerik,08

Summary

Proven track record in manage high-volume claims helps to enhancing operational efficiency at Honan Insurance Group. Skills in benefits claim adjudication to handle Outpatient and Flexible Spending Account claims. Understanding of various languages (English, Chinese & Cantonese) to fluently interpret and translate.

Overview

9
9
years of professional experience
4
4
Languages

Work History

Benefit Administrator

Honan Insurance Group
12.2021 - Current

Benefit Team

Claims Adjudicator

  • Managed high volume of claims, ensured accurate and timely claim processing to meet claims processing deadlines.
  • Assisted client's employees inquiries, ensuring prompt resolutions and increased satisfaction levels.
  • Conduct training sessions for team member on claims processing procedures, contributing to a well-prepared workforce.
  • Maintained compliance with regulatory requirement by conducting regular audits of claims
  • Identified and reported potential fraud or abuse related to claims to protect system's integrity.

Benefits Administrator

  • Ensured timely processing of life event changes, diligently updating employee records as needed.
  • Completed payroll accurately and timely to meet client expectations.
  • Collaborated with client in benefits accounts set up for new hires onboarding
  • Collaborated with BA team on conducted user acceptance testing (UAT) on system for new client onboarding
  • Maintained strict confidentiality when handling sensitive employee information related to benefit plans and personal circumstances.

Reporting Officer

Great Eastern Life Assurance (M) Bhd
12.2020 - 09.2021

Digital Affinity Department

  • Prepared daily, weekly, monthly sales reports required by internal, external department & regulatory report required by Bank Negara Malaysia (BNM).
  • Maintained data accuracy by rigorously verifying and cross-checking information
  • Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
  • Maintained up-to-date knowledge of product and service changes in digital marketing platform.
  • Worked with business unit managers & relevant teams for User Acceptance Test (UAT) prior to new system launching
  • Liaised with Legal & Compliance team on work process to ensure business operation always comply with company guidelines & legal requirements.

Underwriting Support

AIA Shared Services Sdn. Bhd.
08.2017 - 11.2019

Hong Kong Underwriting Department

  • Provide back-end data entry & data processing support to Hong Kong (HK) Underwriting Team.
  • Maintained high productivity to ensure the assigned task completed within specific turnaround time.
  • Worked closely with underwriter, HK agents & stakeholders for operation issue.
  • Ensured data accuracy by cross supported Quality Assurance (QA) teams on policy documentation quality check review processes.
  • Collaborated with HK Policy Servicing (POS) Team to handle policy servicing relevant request of in forced policies.

Hong Kong Contact Centre (HKCC)

  • Responded to Hong Kong agent live chats and emails for all policies related activities inquiries.
  • Improved customer satisfaction by efficiently addressing, following up, resolving issues in a timely manner.
  • Learned and maintained in-depth understanding of product and service information.

Internship

MetaFI Sdn. Bhd.
01.2015 - 04.2015

Finance and Managing Information System Department

  • User data collection, backup & entry of user's information & create users list in inter-company network database.
  • Prepared project presentations and reports to assist senior staff.
  • Attended to inbound call & e-mail received in GST Command Centre when newly introduced of Goods & Services Tax (GST).
  • Liaised with IT Department for system issue reported by stakeholders

Education

Bachelor of Business Banking And Finance (Honours) - Banking & Finance

Tunku Abdul Rahman University College
Setapak, Selangor, Malaysia
04.2001 -

Diploma in Business Studies Banking And Finance - Banking And Finance

Tunku Abdul Rahman University College
04.2001 -

Skills

  • Life Insurance Administration
  • Employee Benefits Knowledge
  • Claims Processing (Outpatient and Flex Claims)
  • Payroll support
  • Software

    Microsoft Excel

    Microsoft Word

    Microsoft Power Point

    Timeline

    Benefit Administrator

    Honan Insurance Group
    12.2021 - Current

    Reporting Officer

    Great Eastern Life Assurance (M) Bhd
    12.2020 - 09.2021

    Underwriting Support

    AIA Shared Services Sdn. Bhd.
    08.2017 - 11.2019

    Internship

    MetaFI Sdn. Bhd.
    01.2015 - 04.2015

    Bachelor of Business Banking And Finance (Honours) - Banking & Finance

    Tunku Abdul Rahman University College
    04.2001 -

    Diploma in Business Studies Banking And Finance - Banking And Finance

    Tunku Abdul Rahman University College
    04.2001 -
    Wen Pin YongClaim Adjudicator