Claims, Analyst

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

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