Non-Medical Claims, Consultant

AIA Hong Kong; Kuala Lumpur; On-site; MYR 70,000 - 90,000; Full time

Job summary

A leading insurance company in Kuala Lumpur seeks an experienced claims processor to handle major claims, ensure compliance, and provide excellent customer service. Candidates must have at least 5 years in the insurance field, a Bachelor's degree, and proficiency in English and Malay. Join us to help people live Healthier, Longer, Better Lives.

Qualifications

• At least 5 years of experience in the insurance industry.
• Ability to communicate effectively in both English and Malay.
• Independent and self-starter.

Responsibilities

• Process and settle major claims in accordance with guidelines.
• Monitor pending cases and reduce the pend ratio.
• Attend to inquiries and emails promptly.

Skills

Customer service orientation

Positive attitude

Interpersonal skills

Technical skills in claims assessments

Education

Bachelor's degree or equivalent

Job description

FIND YOUR 'BETTER' AT AIA

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. So that 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.

About the Role

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 on 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 satisfactory. 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.