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 requirements
Ensure meeting individual quality, turn around time and productivity benchmark
Review/approve cases that exceeds subordinates authority
Respond to email enquiries from internal and external parties
Perform 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 cases
Providing 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 requirements

Qualifications

Educational background in Biomedical, Biotechnology, Nursing, Medicine, Chemistry or related fields
Candidate 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 experience
Comfortable working onsite in Cyberjaya 4 days a week and 1 day work from home

Medical Claims Specialist - Mandarin Speaker