Non-Medical Claims, Analyst
At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.It's about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.Sound like you? Then read on.About the RoleResponsible for determining the validity and authorising settlement of major claims.Position Objectives:To ensure that the administration of Major Claims constantly meets the department goals that align and contribute 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.Monitor OPAT savings 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.Meet claims productivity and benchmark within authority limit, with high expectations and accuracy.Attend to enquiries/emails promptly and satisfactorily.Clear suspense management within 5 days.Perform other responsibilities, duties, projects, and special assignments periodically assigned by supervisor to meet operational and/or other requirements.Minimum Job Requirements:Bachelor's degree holder or equivalent.Minimum 5 years working experience in the insurance industry.Independent and self-starter.Customer service oriented, positive attitude, and good interpersonal skills.Proficient in spoken and written English and Malay.Good knowledge in claims assessments, FSA 2013, and technical skills.Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives.If you believe in better, we'd love to hear from you.#J-18808-Ljbffr