Medical Claims Assessor at AIA Group Ltd

Auckland, Auckland, New Zealand -

Full Time

Start Date

Immediate

Expiry Date

04 Oct, 26

Salary

0.0

Posted On

06 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Assessment, Investigation, Customer Service, Emotional Intelligence, Problem Solving, Risk Management, Fraud Detection, Medical Terminology, Digital Literacy, Stakeholder Management, Claims Administration, Analytical Thinking

Industry

Insurance

Description

. Your Role with Us As a Medical Claims Assessor, you play a vital role in supporting customers through important life moments by managing claims with care, accuracy, and empathy. Working within AIA’s Claims team, you assess and investigate claims, communicate decisions clearly, and collaborate with a wide range of internal and external stakeholders to deliver positive customer outcomes. This is a fast-paced role where your judgement, problem-solving skills, and customer focus help ensure fair and timely decisions. Alongside day-to-day claims management, you contribute to continuous improvement initiatives that strengthen processes, enhance service experiences, and support AIA’s purpose of helping people live Healthier, Longer, Better Lives. Your Impact Assess and investigate claims thoroughly to deliver accurate, fair, and timely claim decisions. Communicate claim outcomes clearly and empathetically, creating positive experiences for customers and stakeholders. Build trusted relationships with internal and external stakeholders to support efficient and effective claims processing. Manage claims administration accurately, maintaining quality records, authorising payments, and ensuring compliance with processes. Identify and investigate potential risks, non-disclosure, and fraud to protect the integrity of the claims process. Contribute to process improvements, projects, and testing activities that enhance service quality and operational performance. Your Capabilities You have experience in claims, administration, customer service, or a related environment where accuracy and attention to detail are important. You bring strong communication and emotional intelligence, enabling you to support customers with empathy while managing sensitive situations. You have the ability to analyse information, apply sound judgement, and make well-considered decisions in complex or evolving circumstances. You bring a proactive approach to problem solving, balancing customer outcomes with process compliance and risk management. You have confidence using digital tools and systems to manage information, maintain records, and deliver efficient service. You may also have experience in the health, insurance, or financial services sectors, along with familiarity with medical terminology or claims assessment practices. 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. 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 nz.talentacquisition@aia.com. Job ad expires Monday 13 July, close of business. 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: 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

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Responsibilities

Assess and investigate medical claims to deliver fair and timely decisions while communicating outcomes empathetically to customers. Manage claims administration, identify potential fraud, and contribute to process improvement initiatives.