Employee Benefits Claims Management, Analyst

2 weeks ago

Kuala Lumpur, Kuala Lumpur, Malaysia AIA Full time
At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.

  • It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._
  • And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business._
Sound like you? Then read on.

About the Role

Responsible for to review and handle health/medical claims; and ensure that cost containment measures are carried out without compromising on the care quality and service standards

Roles and Responsibilities

  • Ensure completeness of claims documents as per internal guideline.
  • Establish covered medical insurance losses against benefits coverage and eligibility.
  • Establish proof of loss by studying medical documentation; assembling additional information as required from other sources, such as claimant history, physician, employer, hospital details, type of medication, procedures & etc. Escalate questionable claims to the direct supervisor / medical advisory officers (if required).
  • Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or denial letter.
  • Ensure claims are processed within the specified turnaround time
  • Ensure confidentiality of all claim's information, inclusive of claims guidelines and internal controls.
  • Maintains quality customer services by following customer service practices, responding to customer inquiries.
  • Accomplish organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to contribute to the organization.
  • Meeting individual efficiency target.
  • Meeting individual quality target.
  • Quality checks must be performed for every claim to ensure claims are processed and paid accurately based on benefits coverage.
  • Improvement of efficiency and effectiveness of functional areas
  • Ensure compliance to organization's policies, procedures, guidelines, as well as state and federal insurance regulations.
Minimum Job Requirements

  • Bachelor's degree or equivalent, in any field of study or with relevant background.
  • Fresh Graduate are welcome to apply
  • Able to work in fast paced environment, independent, customer focused, result oriented & disciplined.
  • Adaptable and able to work on own with mínimal direction.
  • Ability to multitask, plan optimally and meet deadlines.
  • Service oriented/customers focus with sense of urgency and practice prioritization and critical thinking in jobs.
  • Demonstrate good written and oral communication skills.
  • Able to adapt in the face of constant changes in the organization.
  • Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._

  • Employee Benefits Sales, Analyst

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia AIA Full time

    At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone. It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ And as part of our marketing,...

  • Pricing Executive, Employee Benefits

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Full time

    Pricing Executive, Employee Benefits (1-year contract)Job SummaryTo assist in providing end to end pricing quotation support across all channels to meet the turnaround time.Key Responsibilities To perform accurate and timely Corporate Clients and Solutions ("CCS") Pricing quotations and diligently attend to CCS intermediaries and clients' quotation request...

  • Claims Analyst

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia bp Full time

    Job summaryEntity:FinanceJob Family Group:Supply & Trading GroupThe Voyage Claims Analyst is responsible for invoicing for all post fixture claims on their portfolio of vessels. The role requires calculating, negotiating and settlement of all claims with BP entities, vessel owners and charterers including oil majors, trading companies and brokerages. The...

  • Claims Team Lead

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia bp Full time

    Job summaryEntity:FinanceJob Family Group:Supply & Trading GroupThe Voyage Claims Lead Analyst is responsible for invoicing for all post fixture claims on their portfolio of vessels. In addition, the Lead Analyst will take on additional project work as required, represent the team both internally and externally including third-party claim negotiation and...

  • Pricing Executive, Employee Benefits

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Malaysia Full time

    Job SummaryTo assist in providing end to end pricing quotation support across all channels to meet the turnaround time.Key Responsibilities To perform accurate and timely Corporate Clients and Solutions ("CCS") Pricing quotations and diligently attend to CCS intermediaries and clients' quotation request Assist with the administrative tasks of the CCS Pricing...

  • Pricing Executive, Employee Benefits

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Full time

    Job SummaryTo support in providing end to end pricing quotation assistance across all channels to meet the specified turnaround time.Key ResponsibilitiesTo carry out precise and prompt Corporate Clients and Solutions ("CCS") Pricing quotations and actively address CCS intermediaries and clients' quotation requestsAssist with the administrative duties of the...

  • Analyst - Claims Service

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Manpower MY Full time

    Claims Operations Analyst (3 months Contract)Q SentralWe will count on you to:Registration and Processing of claims (General Insurance) within turnaround time. Ensure computed claims settlement and verified reimbursements from insurers are valid. Diligently monitor and followup on unsettled claims with insurers and/or outstanding information from clients....

  • Benefit Operation Analyst

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia ByteDance Full time

    About ByteDanceFounded in 2012, ByteDance's mission is to inspire creativity and enrich life. With a suite of more than a dozen products, including TikTok and Helo as well as platforms specific to the China market, including Toutiao, Douyin, and Xigua, ByteDance has made it easier and more fun for people to connect with, consume, and create content.Why Join...

  • Medical Claims Analyst

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Zurich Insurance Full time

    Job Summary- Utilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency.- Job Accountabilities - Key Accountabilities- Identify deep dive areas in close collaboration with local Business Units. Provide an independent view of...

  • Medical Claims Analyst

    4 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Zurich Insurance Company Ltd. Full time

    Job SummaryUtilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency.Job Accountabilities - Key AccountabilitiesEnsure monthly reporting of Business Units to the data warehouse and constantly improve data quality and...

  • Medical Claims Analyst

    1 month ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Zurich Insurance Company Ltd. Full time

    Job SummaryUtilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency.Job Accountabilities - Key AccountabilitiesEnsure monthly reporting of Business Units to the data warehouse and constantly improve data quality and...

  • Manager, Marsh Benefits

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Mercer Full time

    What can you expect? This presents a unique opportunity to collaborate and work with a highly motivated, experienced, and professional consulting team at Mercer Marsh Benefits (MMB). Your role will concentrate on managing local and regional benefits and assisting with flexible benefit design and implementation support.What is in it for you? Be a part of a...

  • Claim Insights, Analyst

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia AIA Full time

    At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone. As pioneering innovators for over 100 years, we're now transforming our organisation to be faster, simpler and more connected. Because we want to be even better equipped to develop digital solutions and experiences that help more people live Healthier,...

  • Claims Manager

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Aon Corporation Full time

    Claims ManagerClaims Manager, Professional Indemnity Insurance (PII) Scheme for LawyersAon is in the business of better decisionsAt Aon, we shape decisions for the better to protect and enrich the lives of people around the world.As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues...

  • Claims Analyst

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Tune Protect Group Full time

    JOB RESPONSIBILITIES: Handles, investigates, negotiates, and settles claims within authority limits in accordance with company policy. Ensure claims are processed in accordance with the Company's Claims Service Standard and Bank Negara's Guidelines on Claims Settlement Practices (minimum standard). Handles Claims in such a way as to maintain the Company's...

  • Compensation & Benefits Analyst

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Technology One Limited Full time

    How you'll make a differenceAt TechnologyOne we are focussed on delivering customer-driven, innovative ERP software that transforms our customers' business and makes their lives simple.We believe that recognising and rewarding our employees is crucial for their motivation and success and are seeking a passionate People & Culture Remuneration & Achievement...

  • Claims and Servicing Manager

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia PolicyStreet Full time

    ABOUT US:PolicyStreet is a leading InsurTech group, specialising in innovative digital insurance solutions for businesses and consumers in Southeast Asia and Australia. With a network of over 40 providers, we offer a comprehensive range of products, including embedded insurance, customised employee benefits, financial advisory, and digital solutions - making...

  • Claims Representative A

    1 month ago

    Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full time

    The job profile for this position is Claims Representative A, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...

  • Claims Representative A

    4 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full time

    The job profile for this position is Claims Representative A, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you,...

  • Compensation & Benefits Analyst/total Rewards

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Ingredion Incorporated APAC EMEA Shared Services Sdn Bhd Full time

    Analyst, Compensation & Benefits and LOA ServicesLOCATION: Kuala Lumpur, MalaysiaREPORTS TO: Total Rewards LeadDIRECT REPORTS: N/AWORKPLACE TYPE: HybridCompany Background:Ingredion is a Fortune 500 provider of ingredient solutions that touch millions of lives, every day. With over 19,000 customers in 120 countries, we create solutions that help nourish,...