Medical Claims Analyst (Fresh Graduates/Experienced Hired - HK Region)

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

Job summary

A global insurance provider in Malaysia is seeking a Medical Claims Analyst to process life and health claims. This role is suitable for experienced candidates and fresh graduates from biology, chemistry, nursing, and food science backgrounds. Fluency in English and Mandarin is essential, as the role supports the Hong Kong region. Ideal candidates should be self-motivated, customer-oriented, and willing to adapt to desk-bound work, including weekends and public holidays.

Qualifications

• Experienced in Medical or Life Claims Assessment.
• Fresh graduates from relevant backgrounds are welcomed to apply.
• Ability to read and write in Mandarin is a must.

Responsibilities

• Process all claims requests as per stipulated requirements.
• Evaluate and capture all data for claim processes.
• Prepare regular reporting to management on relevant metrics.

Skills

Fluent in spoken English

Fluent in spoken Mandarin

Self-motivated

Customer-oriented

Willingness to learn

Education

Biology degree

Chemistry degree

Nursing degree

Food Science degree

Job description

Medical Claims Analyst (Fresh Graduates/Experienced Hired - HK Region)

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. 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 questionnaires and review all status to ensure efficient adjustment in the claim system.
• Ensure meeting individual quality, turnaround time and productivity benchmark.
• Perform other responsibilities and duties periodically assigned by the immediate manager in order to meet business requirements.
• Prepare 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 templates.
• Validate data accuracy and liaise with relevant parties to rectify data quality.

Job Requirements:

• Experienced in Medical or Life Claims Assessment.
• 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 the HK region.
• Self‑motivated and customer orientated.
• Good dedication at work, good demeanor, willing to learn.
• Able to adapt to a desk‑bound working environment, including weekend shifts on a rotation basis and overtime beyond normal office hours (including weekends & public holidays).
• Willing to work in Cyberjaya and Putrajaya.
• The role is required to follow the Hong Kong working calendar.

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.