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

Wellbeing support

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

Opportunities for career growth

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.

Diverse team culture

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: <a href="https://aia.wd3.myworkdayjobs.com/External?locationCountry=972dc4ba8d454bc0b893ff84b1529077" target="_self">AIA Careers Page</a>

Who We Are

At AIA, we've started an 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.
If you work at AIA, you play an important part in this movement, which is why we are giving you every opportunity to learn, grow and shape your career - your way. Inspiring and supporting you to thrive - not just at work, but in life.
Believe in better with AIA.
Source: <a href="https://aia.wd3.myworkdayjobs.com/External?locationCountry=972dc4ba8d454bc0b893ff84b1529077" target="_self">AIA Careers Page</a>

Our Values

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 RoleResponsible for determining operational excellence and customer satisfaction by empowering assessors through continuous training, reducing operational costs, ensuring consistent in validity and authorizing settlement of medical health. Responsible for handling complex policy cases which require special investigative skills or significant involvement and collaboration from different stakeholders to follow through together with MOH directives while fostering a culture of compliance, efficiency, and integrity.Roles &amp; Responsiblities:<ul><li>To conduct Amount Under clarification (AUC) and case management, regular audits, and&nbsp;handle critical issues to identify Fraud, Waste and Abuse</li><li>To ensure claim ad judication is in accordance with reasonable and customary charges and to review trending of doctors / members / agents that may or may not be in the watch list.</li><li>To analyse and assess significant underwriting and claim cases with the aim of preventing fraud.</li><li>To provide the ability to outline and implement&nbsp;process improvement&nbsp;strategies and&nbsp;cost-saving measures&nbsp;within insurance operations.</li><li>To coordinate activities of expert resources in relevant functions / departments in the effort to resolve the case and recommend operational improvements as appropriate</li><li>To interpret the&nbsp;13th Schedule,&nbsp;Ministry of Health (MOH) letters, and assessment of&nbsp;reasonable and customary charges and align with medical procedures and costs.</li><li>To provide basic Medical Advisory for claims team members on disputed charges and appeal.</li><li>To respond to inquiries of a technical or complex nature through case management.</li><li>To conduct robust medical training aligned with technical aspects of claims processing.</li><li>To mentor/coach and guide the TLs and assessors in robust decision making.</li><li>May work with third parties and government authorities to support external investigation and prosecution of fraudulent cases </li></ul>Minimum Job Requirements:<ul><li>Education: Bachelor’s degree in health sciences, Life Sciences, Healthcare Management, Nursing or equivalent. A medical degree is advantageous but not mandatory.</li><li>Experience: Minimum 5 years in health claims management, case management, or clinical advisory roles. Prior audit or quality assurance experience preferred.</li><li>Certifications/Licenses: Any industry-related medical or healthcare certification (e.g., claims adjudication, healthcare audit, or insurance-specific certifications).</li><li>Strong analytical and audit skills.</li><li>Knowledge of insurance claims adjudication, MOH guidelines, and clinical coding.</li><li>Excellent communication and stakeholder management.</li><li>High proficiency in MS Office, claims platforms, and report automation tools</li></ul>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.

This job is about improving healthcare processes at AIA, ensuring claims are valid, and training staff to prevent fraud. You might like this job because it offers a chance to shape a healthier future while working with supportive leaders!

Kerja ini adalah tentang memastikan kecekapan operasi dan kepuasan pelanggan dalam pengurusan kes kesihatan. Anda mungkin berminat dengan kerja ini kerana anda akan terlibat dalam latihan berterusan dan membantu mencegah penipuan dalam tuntutan insurans, sambil membina komuniti yang lebih sihat dan berintegriti.

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,...

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