Claims, Analyst
2 weeks ago
Get AI-powered advice on this job and more exclusive features. 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 Supporting assigned channels by providing full claims support advisory. Responsibilities Process and decide on claim settlements and approve within authority limit Ensure all enquiries are responded in a timely manner Work closely with brokers/corporate clients/OSS on claims matters/enquiries/complaints Liaise with healthcare providers, TPAs Present to brokers/corporate clients on claim processes Tracking of operational statistics for Claims reporting Handling of exceptional claims escalated issues and appeals Perform claims audit/review as and when assigned Carry out task assigned by Team Lead and Head of Claims Managing and responding for escalation cases/requests from OSS Contact Centre, Claims, and PMM team, Brokers and Direct clients and internal sections Perform claims data analysis to monitor results and identify any gaps or trends as part of the Pro-Active Claims Management Plan and execute User Acceptance Test (UAT) Test scenarios for digital projects and system enhancement Support any other enhancements, internal and external projects as assigned Requirements Degree Holder in Business or a related discipline preferred Prior experience of no less than 3 years in Employee Benefits Claims or Medical Claims or Third-Party Administration management Strong analytical and problem-solving skills, in developing solutions via digitalization, interest in operational systems and its efficiency Good verbal & written communication skills and good interpersonal skills Able to multi-task, meet tight deadlines and work in fast paced environment The individual will need to be self-motivated, highly organized, able to work independently and goal oriented Experience in data analysis is added advantage 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. ABOUT AIA For over a century, AIA has served the ever-changing needs of our customers across Asia-Pacific. Our Purpose to help millions of people live Healthier, Longer, Better Lives is at the heart of everything we do. As pioneering innovators, we're now transforming AIA to be faster, simpler and more connected to create better solutions and impactful experiences for our customers and communities. AIA encourages and enables our people to act with clarity, courage and humanity in service of our Purpose. JOIN US At AIA, we believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. Whether it's investing better wellbeing, inspiring better learning, building better relationships, or making a better impact on customers, a career at AIA will challenge you to find new ways to pursue your 'better'. AIA is committed to building a vibrant, diverse, and inclusive workforce for all employees to thrive in. Join us if you believe in creating a better tomorrow#J-18808-Ljbffr
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Claims, Analyst
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