Health Claims Pre-Approval Specialist

AIA Shared Services; Cyberjaya; On-site; MYR 40,000 - 56,000; Full time

Job summary

AIA Shared Services is seeking candidates to process and assess pre-approval requests within SLA, leveraging healthcare knowledge and medical terminology. Fresh graduates in health-related fields are welcome, with English and Chinese fluency and strong Microsoft Office skills.

The role focuses on accurate documentation, adherence to guidelines, and delivering timely assessments in a corporate insurance setting.

Qualifications

• Fresh graduates with Life Sciences backgrounds are encouraged to apply.
• Ability to read medical terminology and clinical documentation.
• Proficient in English and Chinese; good Microsoft Office skills.

Responsibilities

• Process pre-approval requests accurately according to guidelines.
• Assess cases within authority limits and document decisions.
• Document pre-approval assessments clearly for transparency.
• Meet quality, turnaround, and productivity benchmarks.
• Support training and develop technical competency in scope.
• Perform other duties as assigned by supervisor.

Skills

Bilingual English/Chinese

Strong work ethic

Education

Biology

Chemistry

Nursing

Biotechnology

Medical Sciences

Health Sciences

Food Science

Tools

Microsoft Office

Job description

AIA Shared Services is seeking candidates to process and assess pre-approval requests within SLA, leveraging healthcare knowledge and medical terminology. Fresh graduates in health-related fields are welcome, with English and Chinese fluency and strong Microsoft Office skills.

The role focuses on accurate documentation, adherence to guidelines, and delivering timely assessments in a corporate insurance setting.