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

AIA; Malaysia; On-site; MYR 39,000 - 67,000; Full time

Job summary

AIA Hong Kong and Macau is seeking a Claims Analyst to determine validity and authorize settlements of group health insurance claims. You will efficiently process and assess all claim types, ensuring adherence to guidelines and high-quality standards.

Based at IOI City Tower 1, Putrajaya, you will review medical and policy information, maintain clear documentation, meet quality and turnaround benchmarks, and continuously develop technical skills.

Qualifications

• Bachelor's degree in Health Sciences, Biomedical Sciences, Medical Sciences, or a related discipline.
• Strong ability to read and write Chinese and English for document review and claims support.
• Strong analytical and critical-thinking skills.

Responsibilities

• Process and assess all claim types with precision per company guidelines.
• Approve claims within your designated authority limits and policies.
• Maintain clear records of claims assessments for transparency and reference.
• Meet quality, turnaround time (TAT), and productivity benchmarks.
• Expand technical expertise by handling more claim types and increasing authority limits.
• Maintain an exemplary training record in line with the company's framework.
• Demonstrate a customer-focused and empathetic approach in all interactions.

Skills

Analytical skills

Attention to detail

Bilingual Chinese/English

Customer-centric

Education

Bachelor's degree in Health Sciences or related

Job description

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.

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. 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. If you work at AIA, you play an important part in this movement. Which is why we give 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.

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