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Specialist - Medical Major Claims

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This job is about processing medical claims efficiently at AIA, helping people achieve healthier lives. You might like this job because you’ll learn from supportive leaders and contribute to a meaningful mission focused on community well-being.

Undisclosed

Cyberjaya, MY-AIA Shared Services Malaysia, Kuala Lumpur

Job Description

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About the Role

• Process/assess authorized claims transactions, ensuring accuracy and efficiency in claims handling within the required SLA (Service Level Agreement)
• Coordinate team activities and performance that support the above objective

Claims Process / Assessment 80%

  • Accurately process/assess major claims in adherence to company guideline and quality standard
  • Review and approve cases that is within the claims authority granted including cases that exceeded subordinate’s authority
  • Document claims assessments comprehensively, ensuring transparency and clarity in decision making.
  • Ensure meeting individual quality, turnaround time and productivity benchmark
  • Shows keenness to develop technical competency by extending claims  scope handle or authority limits
  • Maintain a good personal record of training in line with the training framework of the Company
  • Assist to guide new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases
  • Demonstrate excellent customer centric mindset  through highly engaged culture

Other miscellaneous tasks20%

  • Perform other responsibilities and duties periodically assigned by supervisor / manager in order to meet business requirements

Participate in departmental/organizational activities, programs and other tasks required

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.


Job Requirements


Company Benefits

Wellbeing support

We offer a range of wellbeing tools and programmes to help you think well, feel well, plan well and live well.

Opportunities for career growth

With our diverse up-skilling, mentorship, job mobility and career experiences, we will help shape your career, your way.

Diverse team culture

It's our differences that make us better together. We empower you to be your best and make a difference in your own unique ways.


Additional Info

Company Activity

Last active - few hours ago

Job Specialisation


Company Profile

AIA Malaysia (Insurance)-logo-image

AIA Malaysia (Insurance)

Do you believe in helping shape a better, more sustainable future? As the largest listed company on the Hong Kong Stock Exchange, we've been proudly making a difference for people and communities across Asia for over a century. And we build on this every day with our ambition to engage one billion people to live Healthier, Longer, Better Lives by 2030. Source: AIA Careers Page