Specialist - Major Claims (SG Team)

2 days ago

Cyberjaya, Selangor, Malaysia AIA Australia Full time 40,000 - 53,000 per year

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

Provides high-quality claims services in authorized claims transactions for Major Claims (Critical Illness, Death, TPD and Payor Benefit) within the required benchmarks and in line with the Company and department goals

  • Register, reserve, assess, review, investigate, approve and process payment for Major claims within Claims Approval Authority and recommend to higher level for claims above authority.
  • Register, reserve, assess, review, investigate, approve and process payment Minor Claims (Accident/Medical Claims) that is submitted along with Major Claims.
  • Ensure meeting individual quality, turnaround time and productivity benchmark
  • Train all new joiners on product knowledge, claims assessment skills within established standard and guidelines (including Review and Feedback for On-The-Job training cases)
  • Provide training / coaching for current and new hires for the use of system and assessment skills, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.

a. Assist in data analysis for purpose of reporting and trends analysis.

b. Performs other responsibilities periodically assigned by immediate manager to meet business requirements

  • Other ad-hoc tasks/project as required by team manager

Requirements

  • Minimum 3 years of major claims experience in Critical Illness, Death, Total Permanent Disability and/or Partial Permanent Disability
  • Excellent spoken and written English
  • Well versed in medical terminologies or life insurance justifications

Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.

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