Individual Claims Management Specialist
5 days ago
AIA Hong Kong and Macau is an exciting place to build a career in Individual Claims Management. Our team of experts works together to create a healthier, more sustainable future for everyone.
We're seeking ambitious individuals who believe in playing an important part in shaping that future. If you're driven to work with, and learn from some of the most inspiring and supportive leaders in the business, we'd love to hear from you.
About the RoleAs a Medical Claims Assessor, you'll be responsible for determining the validity and authorising settlement of individual health insurance claims. You'll work closely with our team of assessors to ensure quality audits are done and guarantee letters are issued accurately and correctly within targeted TAT.
Your key responsibilities will include:
- Pre-certifying cases for issuance of guarantee letter in compliance to Company's requirements and guidelines
- Ensuring quality audits are done for the respective team members
- Coaching and engaging team members for performance improvement and cost containment
- Handling and resolving fee disputes within targeted TAT
- Performing other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements
To succeed in this role, you'll need:
- 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
- Language: English
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