associate - claims - Cyberjaya, Malaysia - AIA

    AIA
    AIA Cyberjaya, Malaysia

    2 weeks ago

    AIA background
    Full time
    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

    Assess outpatient and inpatient hospitalization claims from Group policyholders as per stipulated benchmarks and requirements

    Job Responsibilities:

  • Responsible to assess and pay the outpatient and inpatient hospitalization claims.
  • Responsible to review and pay cases that exceed authority limit.
  • Meet department and individual quality target, turnaround time and productivity benchmark.
  • Ensure all special account policy is attended and resolved within the agreed timeline.
  • Communicate closely with 24/7 contact centre and ensure emails are responded timely.
  • Assisting team members within the team as and when required.
  • Assist on general administration and any special allocated tasks as and when required.
  • Seek to understand rationale with facts for better claims analysis.
  • Job Requirements:

  • Education: Degree in Bioscience, Medical Science, Nursing related field of study.
  • Language: Proficient in spoken English and Mandarin
  • and follow respective country's requirements
  • Experience: At least 2 years working experience as Claims Assessor in Insurance Industry, fresh graduate are encouraged to apply
  • Proficient in Microsoft Office (Word and Powerpoint).
  • Self-motivated and customer orientated.
  • Sound problem solving.
  • Time management skills.
  • Able to commit for long working hour including weekend and public holiday.