Individual Benefit Cashless Claim, Analyst

AIA

Claims assessment experience
Medical report knowledge
Health insurance policy knowledge
The role involves leading a team of assessors to determine the validity and authorize settlement of individual health insurance claims

Job Summary

  • The role involves leading a team of assessors to determine the validity and authorize settlement of individual health insurance claims.
  • Candidates must ensure guarantee letters are issued accurately within targeted turnaround times while maintaining compliance with company guidelines.
  • The position requires assisting the Workforce Management team to ensure sufficient headcount is scheduled for shift rotations.

Matching Summary

The role involves leading a team of assessors to determine the validity and authorize settlement of individual health insurance claims.

Skills & Requirements

Must-have

  • Claims assessment experience
  • Medical report knowledge
  • Health insurance policy knowledge
  • Team leadership in pre-certification
  • Guarantee letter issuance accuracy

Nice-to-have

  • Coaching and engagement activities
  • Cost containment strategies
  • Fee dispute resolution skills
  • Productivity benchmark achievement

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter