Claims, Analyst

2 days ago

Singapore AIA Full time

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

Responsible for determining the validity and authorizing settlement of insurance claims.

Roles & Responsibilities
- Review 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**:

- Minimum 5 years’ experience in Employee Benefits operations or claims or customer relations area.
- Analytical and detailed, comfortable working with spreadsheets and tableau and able to produce fact based solutions.
- Experience in doing system requirements, UAT.
- Highly driven, result oriented individual, able to work independently as well as within teams.
- Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._

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