Individual Benefit Cashless Claim, Analyst

AIA Australia

Kuala Lumpur, Malaysia
Individual health insurance claims
Pre-certification and hospitalization
Guarantee letter issuance
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

  • Individual health insurance claims
  • Pre-certification and hospitalization
  • Guarantee letter issuance
  • Claims assessment and settlement
  • Medical report knowledge

Nice-to-have

  • Team leadership and support
  • Quality audits and performance improvement
  • Coaching and engagement activities
  • Fee dispute resolution
  • Customer and community well-being

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter