Claims, Analyst

AIA; Singapore; On-site; SGD 55,000 - 75,000; Full time

Job summary

AIA is seeking a claims professional to support assigned channels with full claims advisory, focusing on timely settlements and accurate responses. Responsibilities include processing settlements, interacting with brokers, corporate clients, OSS, TPAs, and providers; performing claims audits and data analysis to identify trends.

The ideal candidate has a degree in business or related field and at least three years in Employee Benefits or Medical Claims, with strong analytics and communication

Qualifications

• Degree in Business or related discipline.
• 3+ years in Employee Benefits Claims, Medical Claims or third-party administration management.
• Strong analytical and problem-solving skills; comfortable with digitalization and operational systems.
• Good verbal and written communication and interpersonal skills.
• Able to multi-task, meet deadlines and work in a fast-paced environment.

Responsibilities

• Process and decide on claim settlements and approve within authority limit.
• Ensure all enquiries are responded in a timely manner.
• Collaborate with brokers/corporate clients/OSS on claims matters and enquiries/complaints.
• Liaise with healthcare providers and TPAs; present claim processes to clients.

Skills

Analytical skills

Problem solving

Verbal & written communication

Multi-tasking

Independent working

Education

Degree in Business or related discipline

Job description

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030. And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business. Sound like you? Then read on.

About the Role

Supporting assigned channels by providing full claims support advisory.

Responsibilities

• Process and decide on claim settlements and approve within authority limit
• Ensure all enquiries are responded in a timely manner
• Work closely with brokers/corporate clients/OSS on claims matters/enquiries/complaints
• Liaise with healthcare providers, TPAs
• Present to brokers/corporate clients on claim processes
• Tracking of operational statistics for Claims reporting
• Handling of exceptional claims escalated issues and appeals
• Perform claims audit/review as and when assigned
• Carry out task assigned by Team Lead and Head of Claims
• Managing and responding for escalation cases/requests from OSS Contact Centre, Claims, and PMM team, Brokers and Direct clients and internal sections
• Perform claims data analysis to monitor results and identify any gaps or trends as part of the Pro-Active Claims Management Plan and execute User Acceptance Test (UAT) Test scenarios for digital projects and system enhancement
• Support any other enhancements, internal and external projects as assigned

Requirements

• Degree Holder in Business or a related discipline preferred
• Prior experience of no less than 3 years in Employee Benefits Claims or Medical Claims or Third-Party Administration management
• Strong analytical and problem-solving skills, in developing solutions via digitalization, interest in operational systems and its efficiency
• Good verbal & written communication skills and good interpersonal skills
• Able to multi-task, meet tight deadlines and work in fast paced environment
• The individual will need to be self-motivated, highly organized, able to work independently and goal oriented
• Experience in data analysis is added advantage

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

“Better” starts with people who reimagine what is possible and turn ideas into meaningful action. At AIA, you will contribute in your own way, help shape outcomes that matter and collaborate with colleagues across disciplines, teams, markets and levels.

We will support you to broaden your perspective, strengthen your capabilities and grow your impact.

Together, we challenge assumptions, learn from one another and find better ways forward.

Bring your ambition, experience and ideas to AIA, and help shape what “better” looks like.

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Bring your difference to AIA