Medical Claims Associate

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

Job summary

A financial services company located in Malaysia is seeking a candidate for a claims-related role. Responsibilities include assessing and paying claims for group policy holders, ensuring adherence to quality targets. Applicants with degrees in biomedical or related fields, including fresh graduates, are encouraged to apply. Training is provided, and knowledge of Mandarin is advantageous. The position includes a weekly work-from-home arrangement, fostering a customer-driven approach in a serene office environment.

Benefits

Training provided

1 day work from home each week

Qualifications

• Fresh graduates and Medical Lab Technologists are welcomed to apply, training will be provided.
• Ability to read and write Mandarin Chinese will be an added advantage.

Responsibilities

• Assess and pay the outpatient and inpatient hospitalization claims for Group policy holders.
• Review and pay cases that exceed authority limit.
• Meet quality target, turnaround time, and productivity benchmark.
• Ensure all special account policy is resolved within the agreed timeline.
• Respond to communications from the 24/7 contact centre timely.
• Assist team members and handle general administration tasks.

Skills

sound knowledge of medical terms

good communication skills

decision-making skills

problem-solving skills

ability to read and write Mandarin

Education

Education qualification in Biomedical, Biotechnology, Biochemistry, Health Science, Biology or related fields

Job description

Responsible to assess and pay the outpatient and inpatient hospitalization claims for Group policy holders as per stipulated requirement and guidelines.

Responsible to review and pay cases that exceed authority limit.

Meet department and individual quality target, turnaround time and productivity benchmark.

Ensure all special account policy is attended and resolved within the agreed timeline.

Communicate closely with 24/7 contact centre and ensure emails are responded timely.

Assisting team members within the team as and when required.

Assist on general administration and any special allocated tasks as and when required.

Seek to understand rationale with facts for better claims analysis.

Requirements

Education qualification in Biomedical, Biotechnology, Biochemistry, Health Science, Biology or related fields

Fresh graduates and Medical Lab Technologists are welcomed to apply, training will be provided.

Sound knowledge of medical terms and claims processes

Ability to read and write Mandarin Chinese will be an added advantage but not a mandatory requirement

Good communication and decision-making skills

Self-motivated and customer-driven

Sound problem solving skill

Additional Notes

Training will be provided

Our office is located in the serene town of Cyberjaya and we'll be moving to Putrajaya in 2026.

1 day work from home arrangement each week