Claims Technical Excellence

Claims Technical Excellence page is loaded## Claims Technical Excellencelocations : Kuala Lumpur, MY-AIA Malaysiatime type : Full timeposted on : Posted Todayjob requisition id : JR-61087

• 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
• Serves as the subject matter expert (SME) for claims technical matters across Life and Health insurance products across the Group and AIA entities and works closely with the business and claims operations team.
• Lead the development and continuous improvement of the Group Claims guidelines and framework.
• Establish Claims Technical Excellence across the Group to increase competitive advantage by strengthen claim control and risk management
• Responsible for the execution & governance of group’s integrated health strategy for healthcare claims administrationResponsibilities include, but are not limited to, the following :
• Claims Governance, Control and Risk Management + Manage and maintain Group-wide Operations Standards, procedures and guidance notes to ensure consistent governance and effective risk mitigation + Collaborate with key stakeholders to complete the risk and compliance reporting requirements for various forums + Drive the achievement of Group business goals in Claim control and risk management
• Support the review and assessment of high-value claims to ensure accuracy and integrity.
• Collaborate with key stakeholders to deliver new innovative Claims capabilities to support the delivery of Group business goals (Gen AI, AI based FWA and auto adjudication, OCR and claims processing)
• Champion data-driven decision-making by defining claims analytics and KPI’s that reflect quality, turnaround and leakage metrics.
• Lead the development and continuous improvement of the Group Claims guidelines and framework.
• Support the development of claims operation model for growing markets
• Perform operational due diligence to support potential M&AJob Requirements :
• Minimum 10-15 years of experience in Claims Operations, preferably in a regional or group-level role.
• Proven experience in claims governance, risk management and fraud detection
• Strong organisational and management skills to lead multi-functional teams
• Strong influencing skills to engage partners and stakeholders in the delivery of key goals
• Effective communication and relationship skills to engage senior level stakeholders
• Ability to demonstrate independent leadership, judgment, and decision making
• Ability to adjust to multiple and changing priorities, remaining flexible, open, and collaborative
• Experience in driving end to end Claims automation and STP for Life and Health Claims
• Exposure to digital transformation initiatives in claim (e.g. AI, OCR, auto adjudication)
• 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.

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