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

AIA; Sepang; On-site; MYR 45,000 - 67,000; Full time

Job summary

AIA Malaysia in Putrajaya invites applications for a Health Insurance Claims Associate role. Responsible for determining validity and authorising settlement of group health claims, you will process diverse claim types and maintain clear records.

You should hold a Bachelor’s degree in Health Sciences or related fields, be bilingual in Chinese and English, and possess strong analytical skills. Intake starts January or March 2027, with a 6- or 12-month contract.

Qualifications

• Bachelor’s degree in Health Sciences or related field.
• Bilingual Chinese and English for HK/Macau market review.
• Strong analytical and critical-thinking skills.
• High attention to detail and accuracy.

Responsibilities

• Efficiently process and assess all claim types.
• Claims approval within authority limits.
• Maintain comprehensive records of claims assessments.
• Meet quality, turnaround time (TAT), and productivity benchmarks.
• Proactively seek opportunities to expand claim handling scope.

Skills

Bilingual CN/EN

Analytical thinking

Attention to detail

Customer-focused

Education

Bachelor’s in Health Sciences

Life Claims experience

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.