The role involves completing claims audits within authority limits while ensuring high service standards for volume, timeliness, quality, and customer satisfaction
Job Summary
The role involves completing claims audits within authority limits while ensuring high service standards for volume, timeliness, quality, and customer satisfaction.
Candidates will participate in developing medical insurance claims rules, handling complex cases, and conducting anti-fraud audits.
The position offers opportunities to mentor new colleagues and share expertise while contributing to AIA's mission of helping a billion people live healthier lives.
Matching Summary
The role involves completing claims audits within authority limits while ensuring high service standards for volume, timeliness, quality, and customer satisfaction.
Skills & Requirements
Must-have
3 years claims audit experience
Medical or Law degree required
Group insurance claims review
Nice-to-have
Experience handling complaints
Anti-fraud investigation skills
Mentoring new team members
Strong customer orientation
Effective problem solving abilities
Key Requirements
Bachelor's degree in Medicine or Law
Minimum 3 years claims audit work history
Prior experience with complaint handling preferred