Non-Medical Claims, Analyst

Posted:
8/13/2024, 5:00:00 PM

Location(s):
Federal Territory of Kuala Lumpur, Kuala Lumpur, Malaysia ⋅ Kuala Lumpur, Malaysia

Experience Level(s):
Mid Level ⋅ Senior

Field(s):
Customer Success & Support

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

Responsible for determining the validity and authorising settlement of major claims

Position Objectives:

  • To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy.

Roles and Responsibilities:

  • Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines. ·
  • Review pending cases every month and reduce pend ratio on the agreed goal set.
  • OPAT savings – To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence.
  • Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.
  • Attend to enquiries / emails promptly and satisfactory. Other Functions · Suspense management – suspense is cleared within 5 days.
  • Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements.

Minimum Job Requirements:

  • Bachelor's degree holder or equivalent.
  • Minimum 5 years working experience in insurance industry.
  • Independent and self-starter.
  • Customer service oriented, positive attitude and good interpersonal skills
  • Spoken and written in both English and Malay language.
  • Good Knowledge in claims assessments, FSA 2013 and technical skills.

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.