Non- Medical Claims, Analyst

AIA Hong Kong and Macau; Kuala Lumpur; On-site; MYR 60,000 - 90,000; Full time

Job summary

A leading insurance company is seeking a Non-Medical Claims Analyst in Kuala Lumpur. The role involves processing major claims, ensuring adherence to corporate strategies, and maintaining high accuracy standards. Candidates should possess a Bachelor's degree and at least 5 years of experience in the insurance industry, with fluency in both English and Malay. Join us in our mission to help customers live Healthier, Longer, Better Lives.

Qualifications

• At least 5 years of experience in the insurance industry.
• Good knowledge of claims assessments, FSA 2013, and technical skills.

Responsibilities

• Process and settle incontestable and contestable major claims.
• Monitor OPAT savings and ensure timely reversal of provisions.
• Meet claims productivity benchmarks and maintain accuracy standards.

Skills

Customer service orientation

Interpersonal skills

Proactive

Self-motivated

Fluency in English

Fluency in Malay

Claims assessments knowledge

Education

Bachelor's degree or equivalent

Job description

Non-Medical Claims, Analyst page is loaded

Non-Medical Claims, Analyst

Apply locations Kuala Lumpur, MY - AIA Malaysia | Time type: Full time | Posted on: Posted 21 Days Ago | Job requisition id: JR-57148

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. Our goal is to help a billion people live Healthier, Longer, Better Lives by 2030.

We seek ambitious individuals who believe in shaping this future. Those looking for career and personal growth opportunities, eager to work with inspiring leaders.

Sound like you? Then read on.

About the Role

Process incontestable and contestable major claims in individual life policies.

Position Objectives:

• Ensure that the administration of Major Claims consistently meets department goals aligned with and contributing to the Corporate Strategy.

Roles and Responsibilities:

• Process and settle incontestable and contestable major claims (e.g., Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and according to procedures and guidelines.
• Review pending cases monthly and work to reduce pendency ratios as per targets.
• Monitor OPAT savings by reviewing closed files and ensuring timely reversal of provisions. Aim for error rates below 0.25% from QC sampling and zero error recurrence.
• Meet claims productivity benchmarks within authority limits, maintaining high accuracy standards.
• Respond promptly and satisfactorily to inquiries and emails.
• Manage suspenses within 5 days.
• Perform other duties, projects, or assignments as required by supervisors to meet operational needs.

Minimum Job Requirements:

• Bachelor's degree or equivalent.
• At least 5 years of experience in the insurance industry.
• Independent, proactive, and self-motivated.
• Customer service-oriented with positive attitude and good interpersonal skills.
• Fluent in both English and Malay, spoken and written.
• Good knowledge of claims assessments, FSA 2013, and technical skills.

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

Ensure all requested information, including Personal Data, is provided for your application. Incomplete or inaccurate information may affect processing outcomes. You are responsible for maintaining current and accurate data.

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At AIA, we believe in better — because there’s no limit to how far ‘better’ can take us.

We empower our people to find their 'better' — in work, careers, lives, and impact. Join us to support more people — including our own — to live Healthier, Longer, Better Lives, and foster healthier societies and environments.

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