At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.
Sound like you?
Then read on.
About the Role
Process authorized inpatient & outpatient claims transactions within the required benchmarks.
Process all Inpatient, Outpatient claims and pre-approval requests received as per stipulated requirementsEnsure meeting individual quality, turn around time and productivity benchmarkReview/approve cases that exceeds subordinates’ authorityRespond to email enquiries from internal and external partiesPerform outbound call to customers when required Training of new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training casesProviding training in System Navigation and Processing Steps, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.
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.
Organize and implement team engagement activities to foster closer team spirit and create work life balance environment.Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirementsQualifications
Educational background in Biomedical, Biotechnology, Nursing, Medicine, Chemistry or related fieldsCandidate MUST able to speak Mandarin.
Ability to read and write Chinese would be an added advantage.Possess a minimum of 2 years experience in Medical/Life Claims processing experienceComfortable working onsite in Cyberjaya 4 days a week and 1 day work from home