Medical Claims Assessor (Hong Kong Market) - Mandarin Speaking

AIA Hong Kong; Cyberjaya; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance provider in Cyberjaya is looking for a Claims Processor to handle authorized claims transactions. This role is open to fresh graduates and experienced candidates. Key responsibilities include evaluating claims requests and preparing reports. Candidates should have a relevant diploma/degree and be fluent in English and Chinese. The role requires adaptability to shift work and maintaining quality benchmarks.

Qualifications

• Open to Fresh Graduates and experienced Medical Claims Assessors.
• Ability to converse in Mandarin/Cantonese is an advantage.
• Willingness to work in a desk-bound environment and on rotational shifts.

Responsibilities

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

Skills

Fluent in spoken English

Fluent in Chinese

Customer oriented

Time management skills

Computer literate in Microsoft Office

Education

Tertiary Diploma/Degree in Biology, Biotechnology, Medical Science, Social Science, Business Management

Job description

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About the Role

Process authorized claims transactions within the required benchmarks for Hong Kong market based on guidelines set for the issuance of AIA insurance policies.

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:

• Open to Fresh Graduate, experienced Medical Claims Assessor, experienced candidate from Lab / Nursing.
• A recognized tertiary Diploma / Degree in Biology, Biotechnology, and Medical Science, Social Science, Business Management or equivalent qualifications.
• Fluent in spoken English & Chinese. Candidate with proficiency to converse in Mandarin / Cantonese would be an added advantage. Passing SPM Chinese subject is a MUST.
• Self-motivated and customer orientated.
• Time management skills.
• Computer literate in Microsoft Office.
• 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).
• 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.