FIND YOUR 'BETTER' AT AIA

We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.

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. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.

If you believe in better, we’d love to hear from you.

About the Role

This role is responsible for processing claims, provide recommendations and final decisions based on set authority limits approved by management. You are expected to provide guidance, instructions, and support to team members (claims assessors) on the claims process and ensuring their timely resolution.

Roles and Responsibilities:

Coordinate with team member and other stakeholders to ensure timely claims resolution
Counterchecks and provides recommendation or final decision on referred claims cases from Junior Claims Assessors (including those processed by our Customer Service staffs handling claims transactions) which are beyond their authority limits
Investigate and evaluate claims to determine their validity, including gathering relevant documentation, medical records, and other supporting materials
Makes the necessary recommendation on a claim (such as final decision or to require further documents or information) or makes a final decision on claim, in accordance with the set authority limit
Ensures proper documentation of cases evaluated and maintains the confidentiality of claims records
Provides claimants with appropriate and prompt explanation of claims benefits which may not be covered and payable
Assess additional or new information on a denied claim or a claim with limited benefits payout and determine if there are grounds for consideration or a revised recommendation
Coordinates with third-party administrations/contractors (TPAs/TPCs), adjusters and other service providers (internal/external), in order to finalize the claims process.
Participate and contribute to process improvements and initiatives to enhance team’s efficiency
Conducts learning sessions for Claims team, as required
Represents AIA in IC mediations, court hearings, as required, involving cases appraised within approval limits
Performs other duties as may be assigned by the Claims Assessment Lead or the Claims Manager, in order to meet the objectives/goals of the department and the Company.

Minimum Job Requirements:

Graduate of a bachelor’s degree course (preferably with medical background)
At least 5 years of work experience in Insurance claims processing
With knowledge of life and general insurance products, claims processes, and regulatory requirements.
Experience with claims management systems and related software
Proficient in Microsoft Office applications
Strong analytical, judgement, comprehension, and conceptual thinking skills
Detail-oriented, organized, systematic. Can work ably under pressure and multi-task
Possesses effective interpersonal relationship skills and is a team player
With strong client service orientation and good sense of urgency

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.