Non-Medical Claims, Analyst

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

Job summary

A leading insurance provider in Kuala Lumpur is seeking an experienced claims processor to handle major claims, including Critical Illness and Death claims. The ideal candidate should possess a Bachelor's degree and a minimum of 5 years in the insurance industry, with strong customer service skills and proficiency in both English and Malay. This role is integral to achieving departmental goals and requires accuracy and independence.

Qualifications

• Minimum 5 years working experience in insurance industry.
• Spoken and written in both English and Malay language.
• Good knowledge in FSA 2013 and technical skills.

Responsibilities

• Process and settle incontestable and contestable major claims within TAT.
• Review pending cases monthly and reduce pend ratio.
• Monitor close file review and ensure timely provision reversal.
• Attend to enquiries and emails promptly.
• Perform additional responsibilities assigned by supervisor.

Skills

Claims assessments

Customer service orientation

Good interpersonal skills

Independent and self-starter

Education

Bachelor's degree or equivalent

Job description

About the Role

Process incontestable and contestable major claims in individual life policies

Position Objectives:

• To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes 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 in compliance with procedure and guidelines.
• Review pending cases every month and reduce pend ratio on the agreed goal set.
• OPAT savings – To monitor the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence.
• Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.
• Attend to enquiries / emails promptly and satisfactorily. Other Functions – Suspense management – suspense is cleared within 5 days.
• Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements.

Minimum Job Requirements:

• Bachelor's degree holder or equivalent.
• Minimum 5 years working experience in insurance industry.
• Independent and self-starter.
• Customer service oriented, positive attitude and good interpersonal skills
• Spoken and written in both English and Malay language.
• Good Knowledge in claims assessments, FSA 2013 and technical skills.

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.