Training, Case Management & Ops Sop Governance, Analyst
AIA Group
Not specified, inferred as hybrid.
Health claims management
Case management and audits
Fraud detection and prevention
AIA Group is seeking a Training, Case Management & Ops Sop Governance Analyst to enhance operational excellence and customer satisfaction through effective training and case management in health claims. The role requires a strong background in health claims management, analytical skills, and a commitment to compliance and process improvement
Job Summary
At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.
Responsible for determining operational excellence and customer satisfaction by empowering assessors through continuous training, reducing operational costs, ensuring consistent validity and authorizing settlement of medical health.
May work with third parties and government authorities to support external investigation and prosecution of fraudulent cases.
Matching Summary
Match Score: 85
AIA Group is seeking a Training, Case Management & Ops Sop Governance Analyst to enhance operational excellence and customer satisfaction through effective training and case management in health claims. The role requires a strong background in health claims management, analytical skills, and a commitment to compliance and process improvement.
Skills & Requirements
Must-have
health claims management
case management and audits
fraud detection and prevention
claims adjudication knowledge
MOH guidelines interpretation
medical training delivery
stakeholder collaboration
Nice-to-have
process improvement strategies
cost-saving measures
mentoring and coaching skills
technical communication
third party and government liaison
Key Requirements
Bachelor’s degree in health sciences or related field
Minimum 5 years health claims or clinical advisory experience
Industry-related medical or healthcare certification
Strong analytical and audit skills
Knowledge of clinical coding
Experience with claims platforms and report automation