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
