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Non- Medical Claims, Analyst

Non- Medical Claims, Analyst

AIAAIA Malaysia, Kuala Lumpur, MY
30+ days ago
Job description

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 incontestable and contestable major claims in individual life policies

Position Objectives :

  • To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy.

Roles and Responsibilities :

  • Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines.
  • Review pending cases every month and reduce pend ratio on the agreed goal set.
  • OPAT savings – To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence.
  • Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.
  • Attend to enquiries / emails promptly and satisfactory. Other Functions
  • Suspense management – suspense is cleared within 5 days.
  • Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and / or other requirements.
  • Minimum Job Requirements :

  • Bachelor's degree holder or equivalent.
  • Minimum 5 years working experience in insurance industry.
  • Independent and self-starter.
  • Customer service oriented, positive attitude and good interpersonal skills
  • Spoken and written in both English and Malay language.
  • Good Knowledge in claims assessments, FSA 2013 and technical skills.
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    Analyst • AIA Malaysia, Kuala Lumpur, MY