Associate - Claims (6 Months / 12 Months - Mandarin Speaking)

AIA Shared Services; Cyberjaya; On-site; MYR 45,000 - 78,000; Part time

Job summary

AIA Shared Services in Malaysia seeks a Claims Analyst responsible for determining the validity and authorising settlement of group health insurance claims. You will process diverse claim types, approve within policy, and maintain thorough documentation to support audits.

The role emphasizes accuracy, timely processing, and customer-focused service. The position is based at IOI City Tower 1, Putrajaya, with intake in January 2027 or March 2027 for a 6- or 12-month contract, requiring bilingual

Qualifications

• Bachelor's degree or above in Health/Medical sciences or related field.
• Proven ability to read and write Chinese and English for document reviews.
• Strong analytical and critical-thinking capabilities.
• Customer-focused approach with attention to accuracy and quality.

Responsibilities

• Process and assess all claim types per guidelines with high accuracy.
• Make informed claims decisions within authority limits and company policy.
• Maintain clear records of claims assessments for transparency.
• Meet quality, turnaround time (TAT) and productivity benchmarks.
• Develop technical knowledge by expanding claims handled and authority levels.

Skills

Analytical skills

Attention to detail

Customer-focused

Chinese & English literacy

Education

Bachelor's degree in Health Sciences

SPM biology background considered

Job description

FIND YOUR 'BETTER' AT AIA

We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.

We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.

If you believe in better, we’d love to hear from you.

About The Role

Responsible for determining the validity and authorising settlement of group health insurance claims

Job Scope

• Efficiently process and assess all claim types: Handle a variety of claims with precision, ensuring each claim is processed according to company guidelines and meets high-quality standards.
• Claims Approval:Make informed decisions on claims within your designated authority limits, ensuring adherence to company policies.
• Documentation:Maintain comprehensive and clear records of all claims assessments, ensuring transparency and ease of reference.
• Performance Benchmarks:Consistently meet quality, turnaround time (TAT), and productivity benchmarks, achieving or exceeding set standards.
• Technical Skill Development:Proactively seek opportunities to enhance technical expertise by expanding the range of claims handled and increasing authority limits.
• Training Record:Maintain an exemplary personal training record, aligning with the company's training framework for ongoing professional development.
• Customer-Centric Mindset:Foster a culture of high engagement and responsiveness, demonstrating a strong commitment to customer satisfaction and service excellence.

Job Requirement

• Bachelor's degree in Health Sciences, Biomedical Sciences, Medical Sciences, or a related discipline; candidates with relevant Life Claims experience will also be considered. Applicants with a strong foundation in Biology at the SPM level may be considered on a case-by-case basis.
• Able to read and write Chinese and English to review documents and support claims operations for the Hong Kong & Macau market.
• Strong analytical and critical-thinking skills
• High attention to detail and accuracy
• Ability to interpret medical and policy-related information
• A customer-focused and empathetic approach
• Willingness to learn and build a long-term career in insurance claims
• Available for intake in January 2027 or March 2027.
• Willing to be based at IOI City Tower 1, Putrajaya.
• Able to commit to a contract duration of either 6 months or 12 months.

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.