Claims Assessor - Medical (Fixed term 3 months)

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

Job summary

AIA NZ is seeking a Claims Assessor - Medical to help customers during critical moments with careful, accurate claim evaluations. You will work with customers, medical professionals, advisers, and internal specialists to deliver fair outcomes and protect the integrity of the claims process.

You will join a team focused on accurate decisions, clear communication, and ongoing process improvements, contributing to AIA's Healthier, Longer, Better Lives mission.

Qualifications

• Experience in claims, administration, customer service, insurance, healthcare, or related environment.
• Strong communication and relationship-building skills for clear, empathetic explanations.
• Ability to analyze information and make balanced decisions with evolving data.
• High attention to detail and adherence to processes to ensure quality outcomes.
• Comfort with digital systems to manage workflows and documentation.
• Knowledge of medical terminology, claims practices, or risk/fraud processes is a plus.

Responsibilities

• Assess medical claims efficiently and accurately in line with policy terms and fair outcomes.
• Communicate decisions clearly and compassionately to customers and stakeholders.
• Build trusted relationships with internal teams, advisers, healthcare providers, and other stakeholders.
• Identify and manage risks, investigate potential non-disclosure or fraud and involve technical specialists as needed.
• Maintain accurate claim records, authorise payments, and complete administrative processes to a high standard.
• Contribute to continuous improvement initiatives to enhance customer experiences and claims processes.

Skills

Claims processing

Customer service

Communication

Attention to detail

Digital systems

Risk awareness

Job description

Your Role with Us

As a Claims Assessor - Medical, you play a vital role in helping people through some of life's most important moments by assessing claims with care, accuracy, and empathy. Working within AIA's Claims team, you partner with customers, medical professionals, advisers, and internal specialists to deliver fair and timely claim outcomes while protecting the integrity of the claims process. This is a fast-paced and rewarding role where your judgement, communication skills, and customer focus make a real difference. You'll have opportunities to deepen your claims expertise, contribute to process improvements, and support AIA's purpose of helping people live Healthier, Longer, Better Lives.

Your Impact

• Assess medical claims efficiently and accurately, ensuring decisions align with policy terms and deliver fair customer outcomes
• Communicate claim decisions clearly and compassionately, creating confidence and understanding for customers and stakeholders
• Build trusted relationships with internal teams, advisers, healthcare providers, and other stakeholders to support timely claim resolution
• Identify and manage risks, investigating potential non-disclosure or fraud and engaging technical specialists where needed
• Maintain accurate claim records, authorise payments, and ensure administrative processes are completed to a high standard
• Contribute to continuous improvement initiatives that enhance customer experiences, team performance, and claims processes

Your Capabilities

• You have experience in claims, administration, customer service, insurance, healthcare, financial services, or a related environment where accuracy and customer care are important
• You bring strong communication and relationship-building skills, enabling you to explain complex information in a clear and empathetic way
• You have the ability to analyze information, apply sound judgement, and make balanced decisions in situations where information may be incomplete or evolving
• You bring strong attention to detail and a commitment to following processes while maintaining high-quality outcomes for customers
• You have confidence using digital systems and technology to manage workflows, documentation, and customer interactions
• You may also have knowledge of medical terminology, claims assessment practices, or risk and fraud investigation processes within insurance or financial services environments

Your Life at AIA

At AIA, we know your career with us is just beginning, and we're committed to helping you make it extraordinary. In return for your energy and ambition, you'll gain access to hands-on experience, structured development programs, and mentorship from some of the most inspiring leaders in the industry. We offer flexible ways of working, competitive rewards, and a culture that values curiosity and collaboration. Here, you'll have the chance to learn, grow, and contribute to our mission of helping a billion people live Healthier, Longer, Better Lives by 2030, while shaping a future that matters for you and the communities we serve.

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.

Interested Candidates

Apply using the 'Apply' button. No emailed applications accepted. For general enquiries only, contact:

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