Employee Benefit Reimbursement & Outpatient Specialist Final Bill Payment, Analyst
AIA Australia
Kuala Lumpur, Malaysia
Adjudicate medical claims
Assess medical documentation
Establish proof of loss
Ensure claims are adjudicated accurately and in a timely manner by establishing the validity of loss through assessment of medical documentation & assembling additional information as required
Job Summary
Ensure claims are adjudicated accurately and in a timely manner by establishing the validity of loss through assessment of medical documentation & assembling additional information as required.
To identify Process improvement ideas & initiatives leading to greater operations effectiveness and efficiency.
Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.
Matching Summary
Ensure claims are adjudicated accurately and in a timely manner by establishing the validity of loss through assessment of medical documentation & assembling additional information as required.
Skills & Requirements
Must-have
adjudicate medical claims
assess medical documentation
establish proof of loss
ensure confidentiality of claims information
process claims within turnaround time
Microsoft Office and reporting tools
Nice-to-have
customer focused
result oriented
adaptable to change
interpersonal and influencing skills
Key Requirements
Bachelor’s degree or equivalent
Minimum of 5 years working experience
Medical insurance/nursing/medical science/hospital background
Ability to multi-task, plan effectively and meet deadlines