Healthcare Policy Data Management Executive

About the role We are seeking a detail-oriented and proactive Policy Insurance Data Management Executive to join our Healthcare Third-Party Administrator (TPA) team. This role is responsible for ensuring the accurate setup, maintenance, and administration of insurance policies, member eligibility, benefit plans, and policy-related data within our core healthcare management system. The successful candidate will play a critical role in managing member data, policy configurations, endorsements, and benefit updates while ensuring data accuracy, compliance, and timely turnaround in accordance with Service Level Agreements (SLA). You will work closely with insurance companies, corporate clients, internal departments, and the IT team to support smooth business operations and deliver excellent service to our stakeholders. This position is ideal for individuals who enjoy working with data, possess strong analytical and problem-solving skills, and are passionate about maintaining high standards of operational excellence in the healthcare and insurance industry. Key responsibilities 1. Data Management Strong data entry and data validation skills. High level of accuracy and attention to detail. Ability to manage large volumes of member data. Ability to perform data reconciliation and auditing. Strong analytical and problem-solving skills. 2. System Administration Experience in managing membership or policy administration systems. Ability to troubleshoot system-related issues. Ability to coordinate effectively with IT and system vendors. Familiarity with system testing and User Acceptance Testing (UAT). 3. Insurance Administration Ability to interpret insurance contracts and benefit schedules. Understanding of policy rules, eligibility criteria, and exclusions. Experience in member enrollment, deletion, and endorsement processing. Ability to configure benefit plans accurately. 4. Customer Service Strong communication skills. Ability to liaise with insurers, brokers, corporate clients, hospitals, and internal stakeholders. Ability to handle inquiries professionally and within service standards. 5. Personal Attributes Meticulous and detail-oriented. Strong sense of accountability and ownership. Ability to work under pressure and meet deadlines. Good time management and prioritization skills. Team player with positive attitude. Ability to handle confidential information with integrity. Continuous improvement mindset. What we're looking for 1. Diploma, Advanced/Higher/Graduate Diploma, Bachelor’s Degree, Professional Certificate in Computer Science, Information Technology, Insurance, Healthcare Administration, Business Administration, Management or any related discipline AND/OR 2. Fresh graduate or minimum 2 year of relevant working experience in the Healthcare Third Party Administration (TPA) operations, medical insurance administration, employee benefits administration, membership administration, data management and system administration or insurance policy setup and maintenance. 3. Excellent written and verbal communication skills in English; proficiency in Bahasa Malaysia is highly desirable. 4. Proficiency in using claims management systems and Microsoft Office applications 5. Ability to multitask and manage multiple data submission simultaneously. 6. Strong organisational skills with meticulous attention to detail. 7. Customer-focused approach with the ability to handle enquiries professionally and courteously. 8. Problem-solving mindset with the ability to work independently and as part of a team. 9. Technical Knowledge Understanding of: Medical insurance policies Group insurance schemes Employee benefits administration ASO (Administrative Services Only) programs Membership eligibility management Schedule of Benefits (SOB) Endorsement processing Policy renewal processes Healthcare provider network operations 10. Knowledge of: Database management principles Data validation and quality control System configuration and maintenance SFTP file transfer processes Excel (Advanced) SQL knowledge (advantageous) API integration concepts (advantageous) Advanced Microsoft Excel (VLOOKUP, XLOOKUP, Pivot Table, Power Query). Experience with healthcare or insurance core systems. Knowledge of medical claims and Guarantee Letter (GL) processes. Experience in bulk data migration and data cleansing. Understanding of API, SFTP, and automated file processing. Report generation and dashboard preparation. What we offer At OneWorks Assistance Sdn. Bhd., we are committed to creating a supportive and professional work environment. We offer competitive remuneration packages, opportunities for career development and advancement, and ongoing training programmes to enhance your skills and knowledge in the healthcare administration sector. We believe in promoting work-life balance and provide a collaborative workplace culture where your contributions are valued and recognised. Additional benefits include medical coverage and access to employee wellness initiatives to support your overall well-being. About us OneWorks Assistance Sdn. Bhd. is a leading healthcare solutions provider committed to delivering efficient and reliable medical administration services. With a focus on bridging the gap between patients, healthcare providers, and insurance companies, we pride ourselves on our expertise in healthcare guarantee letter management and related administrative services. Our mission is to simplify healthcare access whilst maintaining the highest standards of professionalism and compliance. We are dedicated to building lasting partnerships with our clients and creating a workplace where talented professionals can thrive and make a meaningful impact in the healthcare industry. Apply now If you are interested in joining our team and believe you have the skills and experience to excel in this role, we would like to hear from you. Please submit your CV, cover letter, and any relevant certifications to our recruitment team. We look forward to considering your application and discussing how you can contribute to OneWorks Sdn Bhd.