Individual Benefit Cashless Claim, Analyst

AIA Group

Kuala Lumpur, Malaysia
Claims assessment
Medical report knowledge
Health insurance policy knowledge
Responsible for determining the validity and authorising settlement of individual health insurance claims

Job Summary

  • Responsible for determining the validity and authorising settlement of individual health insurance claims.
  • 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.
  • Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

Matching Summary

Responsible for determining the validity and authorising settlement of individual health insurance claims.

Skills & Requirements

Must-have

  • claims assessment
  • medical report knowledge
  • health insurance policy knowledge
  • team leadership
  • quality audits
  • productivity benchmark
  • error rate control

Nice-to-have

  • coaching and engagement activities
  • fee dispute resolution
  • ambitious people
  • shaping the future
  • inspiring leaders

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter