Benefits Claims Analyst - Adjudication & Impact

AIA Hong Kong and Macau; Kuala Lumpur; On-site; MYR 40,000 - 60,000; Full time

Job summary

A prominent insurance provider in Kuala Lumpur is looking for an experienced Claims Management Analyst. The role involves adjudicating medical claims, ensuring adherence to guidelines, and improving operational efficiency. Candidates should have at least 5 years of experience in the insurance or medical industry, strong analytical skills, and the ability to communicate effectively. This is a contract position requiring a bachelor's degree or equivalent and a proactive approach to problem-solving. Join us to make a positive impact on health and well-being.

Qualifications

• Minimum 5 years of experience, preferably in insurance or medical industry.
• Experience in medical insurance, nursing, or medical science is advantageous.
• Ability to work independently and manage multiple tasks effectively.

Responsibilities

• Ensure claims are adjudicated accurately and timely.
• Establish proof of loss by assessing medical documentation.
• Identify process improvement ideas for operational efficiency.

Skills

Analytical skills

Interpersonal skills

Problem solving

Customer focus

Communication skills

Microsoft Office

Education

Bachelor’s degree or equivalent

Tools

Reporting tools

Job description

A prominent insurance provider in Kuala Lumpur is looking for an experienced Claims Management Analyst. The role involves adjudicating medical claims, ensuring adherence to guidelines, and improving operational efficiency. Candidates should have at least 5 years of experience in the insurance or medical industry, strong analytical skills, and the ability to communicate effectively. This is a contract position requiring a bachelor's degree or equivalent and a proactive approach to problem-solving. Join us to make a positive impact on health and well-being.