Medical Claims Assessor — Compassionate & Precise

AIA Australia; Auckland; Hybrid; NZD 70,000 - 110,000; Full time

Job summary

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.

Qualifications

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

Responsibilities

• 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.

Skills

Claims experience

Customer service

Communication skills

Attention to detail

Tools

Workflow systems

Job description

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.