Employee Benefits Claims Management, Analyst

7 hours ago


Kuala Lumpur, Malaysia AIA Group Full time

**At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.**

**Sound like you Then read on.**

**WE ARE LOOKING FOR.....**Responsible for performing pre-certification prospective, concurrent and retrospective review of hospitalisation and ensure that cost containment measures are carried out without compromising on the care quality and service standards.
- To pre-certify cases for issuance of guarantee letters in compliance to Company's requirements and guidelines
- To ensure guarantee letters are issued accurately and correctly within targeted TAT and with authority assigned3To achieve target productivity benchmark
- To support Call Centre Customer Service Executive (CSE) and hospitals/providers in handling enquiries of guarantee letters and related matters
- To ensure cases of fee disputes are handled and resolved within targeted TAT
- To follow up on pending cases
- To ensure error rate in guarantee letter issuance is less than thetargetthreshold
- To performs other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements



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