Medical Claims Analyst (Fresh Graduates/Experienced Hired)

AIA Shared Services; Sepang; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance provider is seeking a Medical Claims Analyst in Cyberjaya, Malaysia. This role involves processing all types of claims, evaluating data, and ensuring quality standards are met. Fresh graduates from relevant scientific backgrounds are welcome, and fluency in Mandarin is necessary for communication with the HK region. Candidates should be self-motivated and able to adapt to a desk-bound environment with shift rotations including weekends.

Qualifications

• Experience as Medical or Life Claims Assessor is preferred.
• Fresh graduates from relevant backgrounds are welcomed.
• Ability to read, write, and communicate in Mandarin is essential.

Responsibilities

• Process various claims requests according to requirements.
• Evaluate data for claims processes and prepare medical questionnaires.
• Meet individual quality and productivity benchmarks.

Skills

Fluent in spoken English

Fluent in spoken Mandarin

Self-motivated

Customer oriented

Willingness to learn

Education

Degree in Biology, Chemistry, Nursing, Medical or Food Science

Job description

Medical Claims Analyst (Fresh Graduates/Experienced Hired)

We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.

We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.

If you believe in better, we’d love to hear from you.

Job Responsibilities:

Process all Life / Accident and Health (A&H) / Major Claims / Corporate Solutions (CS) / Pre-Approval (PA) claims requests received as per stipulated requirements.

Evaluate and capture all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim system.

Ensure meeting individual quality, turnaround time and productivity benchmark.

Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements.

Prepares regular reporting to management on metrics relating to business, operations, risk, compliance, workforce, etc. or statutory authorities on regulatory metrics.

Develop procedures for reporting, extract, collate and populate data to reporting template.

Validate data accuracy and liaise with relevant parties to rectify data quality.

Job Requirements:

Experienced Medical or Life Claims Assessor.

Fresh graduates from Biology, Chemistry, Nursing, Medical or Food Science background, and Lab Technicians are welcomed to apply, however, this is a medical claims processing position and not a Laboratory position.

Fluent in spoken English & Mandarin. Ability to read and write in Mandarin is a must to support HK region.

Self-motivated and customer orientated.

Good dedication at work, good demeanor, willing to learn.

Able to adapt desk-bound working environment, working shift including weekend on rotation basis & able to work overtime beyond normal office hour (including weekend & public holiday).

Willing to work in Cyberjaya.

The role is required to follow Hong Kong working calendar.

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.