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Medical Claims Team Lead

Medical Claims Team Lead

AWP Services (Thailand) Co., Ltd.Kuala Lumpur, Kuala Lumpur, Malaysia
23 jam yang lalu
Penerangan pekerjaan

Bring your medical expertise where it matters most—at the front line of travel assistance. You'll assess and decide medical claims for Malaysia and Singapore, liaise with providers, and steer customers to safe, appropriate care while safeguarding costs. You'll mentor junior colleagues, resolve escalations, and drive continuous improvement in a collaborative, purpose-driven environment. Ideal for an experienced claims professional with a nursing degree—or a newly qualified medical doctor—ready for a step-up into leadership and meaningful career growth.

Note : This role will be employed under Allianz Partners Malaysia (AWP Services Sdn Bhd).

What You'll Do

  • Own end-to-end travel medical claims decisions for Malaysia and Singapore using sound clinical judgment.
  • Act as the technical point of contact and escalation owner for complex or high-cost cases.
  • Coordinate cross-border assistance and provider interactions to ensure quality care and cost control.
  • Monitor SLAs, quality, and spend; report performance and drive process improvements.
  • Handle complaints and operational escalations professionally and within timelines.
  • Coach and oversee 1–3 direct reports; support hiring, onboarding, and training.
  • Apply approvals within authority and escalate with clear, evidence-based rationale.
  • Partner with assistance, provider networks, underwriting, and operations to enhance outcomes.

What You'll Bring

  • Nursing degree (RN / BN or equivalent) strongly preferred; other medical backgrounds considered (new MDs welcome).
  • Solid experience handling medical claims in travel insurance / assistance or related settings.
  • Proven clinical judgment with strong cost-awareness and customer focus.
  • Advantage : Prior team leadership or coaching; ready to step into a formal lead role.
  • Clear communication in English; Mandarin is a plus.
  • Proficient with Microsoft Office; organized, decisive, calm under pressure.
  • Legal right to work in Malaysia.
  • Location : UOA Centre, KLCC.
  • Nice to Have

  • Emergency / acute care experience.
  • Background in travel and assistance operations.
  • Experience engaging providers across Malaysia and Singapore.
  • What Success Looks Like

  • Accurate, timely claim decisions that improve customer outcomes and deliver measurable cost savings.
  • SLAs consistently met or exceeded; fewer escalations and stronger quality metrics.
  • A confident, high-performing team with clear processes, training, and stakeholder praise.
  • What we offer :

    Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and ambitions, and we enjoy being a part of their journey.

    We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is a key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

    If you're excited but unsure if you meet every requirement, apply anyway—we'd love to hear from you. We value potential, transferable skills, and a growth mindset.

    Allianz Group is one of the most trusted insurance and asset   management companies in the world. Caring for our employees, their ambitions,   dreams and challenges, is what makes us a unique employer. Together we can   build an environment where everyone feels empowered and has the confidence to   explore, to grow and to shape a better future for our customers and the world   around us.

    At Allianz, we stand for unity : we believe that a united world is a   more prosperous world, and we are dedicated to consistently advocating for   equal opportunities for all. And the foundation for this is our inclusive   workplace, where people and performance both matter, and nurtures a culture   grounded in integrity, fairness, inclusion and trust.

    We therefore welcome applications regardless of ethnicity or cultural   background, age, gender, nationality, religion, social class, disability or   sexual orientation, or any other characteristics protected under applicable   local laws and regulations.

    Join us. Let's care for tomorrow.

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