Claims Assessor - Medical (Fixed term 3 months)

AIA Australia; Auckland; Ibrido; NZD 70.000 - 110.000; Tempo pieno

Descrizione del lavoro

AIA is seeking a Claims Assessor - Medical in Auckland, NZ, to assess medical claims with care and accuracy. You will partner with customers, medical professionals, advisers and internal specialists to deliver fair outcomes while protecting the claims process integrity.

In this fast-paced role you will communicate decisions clearly, build strong relationships with stakeholders, and contribute to process improvements. Flexible working options and ongoing development support are available.

Competenze

• Experience in claims, administration or insurance environments.
• Strong communication and relationship-building abilities.
• Ability to analyse information and make balanced decisions.

Mansioni

• Assess medical claims accurately and efficiently, ensuring alignment with policy terms and fair outcomes.
• Communicate claim decisions clearly and with empathy to customers and stakeholders.
• Build trusted relationships with internal teams, advisers and providers to support timely resolutions.
• Identify and manage risks including potential non-disclosure or fraud; engage specialists as needed.
• Maintain accurate claim records and authorise payments; ensure administrative processes are completed to a high standard.
• Contribute to continuous improvement initiatives to enhance customer experience and claims processes.

Conoscenze

Claims experience

Customer service

Communication skills

Attention to detail

Strumenti

Workflow systems

Descrizione del lavoro

Your Role with UsAs 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 ImpactAssess medical claims efficiently and accurately, ensuring decisions align with policy terms and deliver fair customer outcomesCommunicate claim decisions clearly and compassionately, creating confidence and understanding for customers and stakeholdersBuild trusted relationships with internal teams, advisers, healthcare providers, and other stakeholders to support timely claim resolutionIdentify and manage risks, investigating potential non-disclosure or fraud and engaging technical specialists where neededMaintain accurate claim records, authorise payments, and ensure administrative processes are completed to a high standardContribute to continuous improvement initiatives that enhance customer experiences, team performance, and claims processesYour CapabilitiesYou have experience in claims, administration, customer service, insurance, healthcare, financial services, or a related environment where accuracy and customer care are importantYou bring strong communication and relationship-building skills, enabling you to explain complex information in a clear and empathetic wayYou have the ability to analyse information, apply sound judgement, and make balanced decisions in situations where information may be incomplete or evolvingYou bring strong attention to detail and a commitment to following processes while maintaining high-quality outcomes for customersYou have confidence using digital systems and technology to manage workflows, documentation, and customer interactionsYou may also have knowledge of medical terminology, claims assessment practices, or risk and fraud investigation processes within insurance or financial services environmentsYour Life at AIAAt 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.DEIBDiversity, 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] 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: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.