Claims Associate – Hospitalization & Analysis

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

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.