Individual Benefit Cashless Claim, Analyst

AIA

Bachelor's degree in medicine or medical fields
Minimum 2 years of claims assessment experience
Knowledge of health insurance policies and medical reports
The role involves leading a team of assessors to determine claim validity and authorize settlements for individual health insurance

Job Summary

  • The role involves leading a team of assessors to determine claim validity and authorize settlements for individual health insurance.
  • Candidates must ensure high-quality audits are conducted while maintaining targeted turnaround times for guarantee letter issuance.
  • The position requires managing fee disputes, monitoring document queues, and collaborating with the WFM team to ensure adequate staffing.

Matching Summary

The role involves leading a team of assessors to determine claim validity and authorize settlements for individual health insurance.

Skills & Requirements

Must-have

  • Bachelor's degree in medicine or medical fields
  • Minimum 2 years of claims assessment experience
  • Knowledge of health insurance policies and medical reports
  • Experience with pre-certification and guarantee letters
  • Ability to lead and audit a team of assessors

Nice-to-have

  • Strong coaching and engagement skills
  • Experience with workforce management scheduling
  • Proven track record in cost containment
  • Excellent communication and huddle facilitation

Key Requirements

  • Bachelor's degree in medicine or medical fields
  • Minimum 2 years of relevant experience
  • Proficiency in English and Bahasa Malaysia

Work Rights

Not specified

Tailored Resume

Cover Letter