Individual Benefit Cashless Claim, Analyst at AIA

, , Malaysia -

Full Time

Start Date

Immediate

Expiry Date

01 Mar, 26

Salary

0.0

Posted On

01 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Assessment, Medical Report Knowledge, Health Insurance Policy Knowledge

Industry

Insurance

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 Responsible for determining the validity and authorising settlement of individual health insurance claims Roles & Responsibilities: To support and lead a team of assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company’s requirements and guidelines. To ensure quality audits are done for the respective team members. To pre-certify cases for issuance of guarantee letter in compliance to Company’s requirements and guidelines assist the team target productivity benchmark. To ensure guarantee letters are issued accurately and correctly within targeted TAT and with authority assigned. To assist in the assignment and monitoring of all documents received in their respective team’s queues. To assist WFM team in ensuring sufficient headcount as scheduled on the shift rotation on a monthly basis to cater for the GL process. To ensure huddles and communications are carried out as per the agreed frequency. To ensure coaching and engagement activities are carried out for performance improvement and cost containment. To ensure that cases of fee disputes are handled and resolved within targeted TAT. To ensure that error rate in GL issuance is less that the target. To perform other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements. Minimum Job Requirements: Education: Bachelor's degree in medicine or medical fields Years of Experience: Minimum 2 years of experience Technical Skills: Claims assessment, Medical report knowledge, Health Insurance Policy knowledge Industry: Health Insurance, Third-Party Administrator, Hospitals, Clinics, Medical Labs Language: English and Bahasa Malaysia Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives. 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. 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. As the largest listed company on the Hong Kong Stock Exchange, we’ve been proudly making a difference for people and communities across Asia for over a century. And we build on this every day with our ambition to engage one billion people to live Healthier, Longer, Better Lives by 2030. If you work at AIA, you play an important part in this movement. Which is why we give you every opportunity to learn, grow and shape your career - your way. Inspiring and supporting you to thrive - not just at work, but in life. Believe in better with AIA. View our AIA LinkedIn page Bring your difference to AIA

Responsibilities

Responsible for determining the validity and authorising settlement of individual health insurance claims. Support and lead a team of assessors in pre-certification, hospitalization, and case management in compliance with company guidelines.