Associate - Claims (SG Corporate Solution)

AIA; Cyberjaya; On-site; MYR 100,000 - 150,000; Full time

Job summary

A financial services company in Malaysia seeks a Claims Assessor to evaluate outpatient and inpatient hospitalization claims. The role involves reviewing cases, meeting quality targets, and assisting team members. Ideal candidates will have strong analytical skills and effective communication. Opportunities for personal and career growth are offered, contributing to a mission of improving community health and well-being.

Responsibilities

• Assess outpatient and inpatient hospitalization claims from Group policyholders.
• Review and pay cases exceeding authority limit.
• Meet quality target, turnaround time, and productivity benchmarks.
• Ensure all special account policy is addressed within the timeline.
• Communicate with the 24/7 contact centre and respond timely.
• Assist team members when required.
• Handle general administration and special tasks.
• Analyze claims based on facts.

Job description

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

Assess outpatient and inpatient hospitalization claims from Group policyholders as per stipulated benchmarks and requirements.

• Responsible to assess and pay the outpatient and inpatient hospitalization claims.
• Responsible to review and pay cases that exceed authority limit.
• Meet department and individual quality target, turnaround time and productivity benchmark.
• Ensure all special account policy is attended and resolved within the agreed timeline.
• Communicate closely with 24/7 contact centre and ensure emails are responded timely.
• Assisting team members within the team as and when required.
• Assist on general administration and any special allocated tasks as and when required.
• Seek to understand rationale with facts for better claims analysis.

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.