Assistant Manager, Claims

5 months ago

Cyberjaya, 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

1. Manage a team of Claims assessors to process authorized claims transactions within the required benchmarks

2. Review and approve cases that exceeds subordinates’ authority within required benchmarks

3. Building and Developing complete skill sets for Claims Assessors

4. Overall improves the team’s quality, turnaround time and productivity benchmark

5. Claims Reporting and Trends Analysis

6. Involve in Process Improvement

Key Responsibilities
- Manage a team to process all Major and Minor claims requests received as per stipulated requirements including review cases that exceeds subordinates’ authority
- Ensure team members achieve quality, turn around time and productivity benchmark
- Actively manage pending and long idle cases within timeline
- Organize regular meeting with business partner, prepare minutes of meeting and take follow up action items for next meeting.
- Prepare all claims reporting including daily SLA, TAT report, monthly Dashboard reporting, Management reports, OT report, BCP/BIA, etc accurately and on time.

Training
- Train new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases
- Providing training in System Navigation and Processing Steps, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.
- Make recommendation for Claims Approval Authority and arrange necessary authorities to be set up in system.
- Develop effective training programs for claims assessors.

Process Improvement
- Report and monitor claim experience, quality and trend analysis, with a view to identifying gaps, formulating solutions and strategies as part of the risks management and control responsibilities and its implementation.
- Actively involved in process improvement initiatives to improve productivity and quality of claims delivery.
- Conduct regular claims review in claims performance to ensure claims principles/authorities are adhered to. Review claims decision making process to identify areas of claims risk management concerns for further improvements.

Team Engagement
- Organize and implement team engagement activities to foster closer team spirit and create work life balance environment.
- Effectively manages and supervises team members in line with company policies and procedures, including those who are achieving personal work objectives and those who are under performing.

Others
- Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements

**Requirements**:

- Education qualification in Biomedical, Health Science, Biology, Medicine, Nursing, Actuarial or related fields
- At least 5 years working experience with at least 3 years in supervisory role experience in claims department is an advantage
- Sound knowledge of Death, Critical Illness, Accident & Hospitalisation claims.
- Experience in Life insurance with an added advantage
- Preference for proficiency in both spoken and written Chinese and English, with strong written skills.
- Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._

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