Benefits Claims Analyst - Medical Adjudication & Improvement

AIA Malaysia; Kuala Lumpur; On-site; MYR 60,000 - 80,000; Full time

Job summary

A regional insurance provider in Kuala Lumpur is seeking a Claims Adjudicator to ensure accurate and timely claims processing. Key responsibilities include reviewing medical documentation, establishing proof of loss, and improving operational effectiveness. The ideal candidate has at least 5 years of experience in the insurance or medical industry, holds a Bachelor's degree, and possesses strong analytical and communication skills. Adaptability in a fast-paced environment is essential, along with a customer-focused mindset.

Qualifications

• Minimum of 5 years working experience in the insurance or medical industry.
• Able to work independently with minimal supervision.
• Good written and oral communication skills.

Responsibilities

• Ensure claims are adjudicated accurately and timely.
• Adjudicate medical claims following organizational guidelines.
• Establish proof of loss through assessment of medical documentation.

Skills

Customer focused

Analytical skills

Communication skills

Problem-solving skills

Multitasking

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Reporting tools

Job description

A regional insurance provider in Kuala Lumpur is seeking a Claims Adjudicator to ensure accurate and timely claims processing. Key responsibilities include reviewing medical documentation, establishing proof of loss, and improving operational effectiveness. The ideal candidate has at least 5 years of experience in the insurance or medical industry, holds a Bachelor's degree, and possesses strong analytical and communication skills. Adaptability in a fast-paced environment is essential, along with a customer-focused mindset.