Associate - Claims (SG Corporate Solution)

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

Job summary

A leading insurance provider in Malaysia is seeking individuals for a role that focuses on assessing hospitalization claims from Group policyholders. Responsibilities include reviewing cases exceeding authorization limits and ensuring quality targets and timely resolutions. Ideal candidates will work collaboratively with team members and will have clear guidelines for performance. This position is suitable for those eager to contribute to a healthier community while ensuring high standards in claims management.

Responsibilities

• Assess outpatient and inpatient hospitalization claims based on benchmarks.
• Review and pay claims that exceed authority limits.
• Meet quality target, turnaround time, and productivity benchmarks.
• Ensure timely resolution of special account policies.
• Respond to inquiries from the contact center promptly.

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.