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- To support a team of assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company's requirements and guidelines.
- To ensure quality audits are done for the respective team members.
- To ensure guarantee letters are issued accurately and correctly in timely manner and with authority assigned.
- To assist in the assignment and monitoring of all documents received in their respective team's queues.
- To ensure that cases of fee disputes are handled and resolved within targeted TAT.
- To reduce error rate in guarantee letter issuance less than the target.
- To perform other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements.
- Candidate must possess at least a Bachelor's Degree, Post Graduate Diploma, Professional Degree or Master's Degree in Dentistry, Medicine, Medical Science, Biomedical, Nursing, Pharmacy, Pharmacology, Physiotherapy or equivalent.
- Candidate with claim experience is an added advantage.
- Fresh Graduate with medical background is encouraged to apply.
- Technical Skills: Claims assessment, Medical report knowledge, Health Insurance Policy knowledge.
- Industry: Health Insurance, Third-Party Administrator, Hospitals, Clinics, Medical Labs.
- Language: English and Bahasa Malaysia.
Individual Claims Management, Analyst - Kuala Lumpur, Malaysia - AIA
Description
At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.
Sound like you? Then read on.
About the Role
Responsible for performing pre-certification; prospective, concurrent and retrospective review of hospitalization.Roles and Responsibilities:
Minimum Job Requirements: