Senior Major Claims Specialist

1 week ago

Cyberjaya, Selangor, Malaysia AIA Shared Services Sdn. Bhd. Full time

About the Role

  • Provides high-quality claims services in authorized claims transactions for Major Claims (Death, Critical Illness, 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 own Claims Approval Authority and recommend to higher level for claims above authority.
  • Provide support in building and developing complete skill sets for Major Claims Assessors

Key Responsibilities

Claims Processing

  • 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.
  • Ensure meeting individual quality, turnaround time and productivity benchmark

Training

  • Train 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.

Ad hoc

  • Assist in data analysis for purpose of reporting and trends analysis.
  • Performs other responsibilities periodically assigned by immediate manager to meet business requirements

Requirements

  • Education qualification in Biomedical, Biology, Medicine, Nursing or related fields
  • Minimum 3 years Major Claims experience (death, critical illness and/or total permanent disability)
  • Experience in Life insurance will be an added advantage
  • Strong English writing skills.
  • Good communication skill.
  • Self-motivated and customer-driven
  • Sound problem solving skill

We will be relocating from Cyberjaya to IOI Tower 1, Putrajaya in 2026.

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