Claims Assessor - Medical (Fixed Term 12 Months)

AIA; Auckland; On-site; NZD 65,000 - 90,000; Full time

Job summary

AIA is seeking a Claims Assessor - Medical in Auckland, New Zealand. You will assess medical claims within our life/health portfolio, communicating outcomes clearly to customers and advisers while liaising with medical professionals and internal teams.

You will apply medical terminology and judgment to ensure fair decisions, manage risks, and support continuous improvement in the claims journey for our clients across Asia-Pacific.

Qualifications

• Experience assessing or managing claims in life and/or health insurance.
• Strong communication with customers and stakeholders.
• Ability to make sound decisions under ambiguity.
• High attention to detail and adherence to processes.
• Ability to understand/apply medical terminology in claims.
• Comfort with using digital systems to support outcomes.

Responsibilities

• Assess and investigate medical claims to deliver fair, timely outcomes.
• Communicate decisions clearly and empathetically to customers.
• Build and maintain relationships with internal/external stakeholders.
• Identify and manage risks, including non-disclosure and potential fraud.
• Prepare clear recommendations and present cases to the Claims Committee.
• Contribute to continuous improvement to enhance customer experience and efficiency.

Skills

Claims assessment

Medical terminology

Communication

Decision making

Stakeholder management

Attention to detail

Digital systems

Job description

Your Role with Us

As a Claims Assessor - Medical, you play an important role in helping customers through some of life’s most challenging moments. Working within AIA’s Claims team, you assess and manage claims with accuracy, empathy, and sound judgement to deliver fair and timely outcomes. You build trusted relationships with customers, advisers, medical professionals, and internal stakeholders, ensuring clear communication throughout the claims journey. In this fast-paced environment, you balance customer care with risk management while contributing to continuous improvement initiatives that enhance the claims experience. This is a great opportunity to deepen your technical expertise, strengthen stakeholder partnerships, and make a meaningful difference every day.

Your Impact

• Assess and investigate medical claims thoroughly, making fair and informed decisions that deliver timely outcomes for customers
• Communicate claim decisions clearly and empathetically, helping customers understand next steps with confidence
• Build strong relationships with internal and external stakeholders to support efficient and accurate claims processing
• Identify and manage risks, including non-disclosure and potential fraud, to protect the integrity of the claims process
• Prepare clear recommendations and present complex cases to the Claims Committee to support effective decision making
• Contribute to continuous improvement initiatives that enhance customer experience, team performance, and operational efficiency

Your Capabilities

• You have experience assessing or managing claims within the life and/or health insurance industry
• You bring strong communication skills and build positive relationships with a wide range of customers and stakeholders
• You have the confidence to make sound decisions, solve problems, and remain effective when managing competing priorities and ambiguity
• You bring strong attention to detail and consistently follow processes to deliver high-quality outcomes
• You have the ability to understand and apply medical terminology and information when assessing claims
• You are comfortable using digital systems and tools to support customer outcomes
• You are a self-starter who takes initiative and is motivated to achieve positive outcomes for customers and the team

Your Life at AIA

In return for your expertise, we offer a career where you can apply your skills to meaningful work that improves lives across Asia‑Pacific. You’ll enjoy flexible ways of working, competitive rewards, and access to continuous learning programs designed to keep you ahead in a rapidly changing world. Our collaborative culture values your ideas and empowers you to innovate, solve complex challenges, and contribute to our ambition of helping a billion people live healthier, longer, better lives by 2030.

DEIB

Diversity, equity, and inclusion are central to who we are and how we work. We value people from all walks of life and welcome candidates of all backgrounds, identities, and lived experiences, including those with disabilities, additional mental health needs, chronic health conditions, or who are neurodiverse. If you’re excited about this role but don’t meet every requirement, we still encourage you to apply. And if there’s anything we can do to support you during the recruitment process, please contact us at [e-mail].

Recruitment Agencies

Our Talent team does not require any recruitment agency support.

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