AIA

Non-Medical Claims, Consultant

AIA  •  Kuala Lumpur, MY (Onsite)  •  26 days ago
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Job Description

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

1. Provide technical aspect of coaching and guidance to claims team.
2. Monitor to ensure daily and monthly KPI is met for team and department.
3. Handle complaint, dispute and/or litigation claim case.
4. Involve in projects and initiatives relating to process improvement.

Roles and Responsibilities:

  • Responsible for the targets and deliverables of Team KPI as defined in the Goal Setting.
  • Review / approve claims within approval authority, in compliance with provisions and guidelines, recommend to higher authority for claims exceeding approval limit.
  • Pending Claims & Suspense account Management – to ensure ratio meet or exceed target set. Handling correspondence with regulator and lawyer for complaint, dispute and/or litigated cases.
  • Signing insurance coverage cancellation and claim rejection letter.
  • Support new products launching and work with business analyst team to review product specification, user requirement, test script, etc..
  • Conduct roadshow, workshop for sales team. Review processes and system enhancement for operational efficiency and effectiveness, increase productivity and improve TAT (turnaround time).
  • Conduct self-audit review and dealing with external / internal auditor to provide requirements.
  • Staff coaching, guidance and training for skill / knowledge growth and development.
  • Prepare active operations management report: daily performance, weekly forecast etc..

Minimum Job Requirements:

  • Education – Degree in Medicine, Bioscience, Life Sciences, or other discipline which is relevant.
  • Experience – more than 7 years working experience in life claims processing field.
  • Sound knowledge in life claims assessment, requirements, procedures, and processing including Financial Services Act, etc..
  • Language skills – Good writing, communication, interpersonal and presentation skills.
  • Able to speak and write English and Bahasa Malaysia; Mandarin would be an advantage.
  • Microsoft Office Software skills – sound knowledge in applying Word, Excel and Power Point.

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.

AIA

About AIA

AIA Group Limited and its subsidiaries (collectively “AIA” or the “Group”) comprise the largest independent publicly listed pan-Asian life insurance group. It has a presence in 18 markets – wholly-owned branches and subsidiaries in Mainland China, Hong Kong SAR(1), Thailand, Singapore, Malaysia, Australia, Cambodia, Indonesia, Myanmar, New Zealand, the Philippines, South Korea, Sri Lanka, Taiwan (China), Vietnam, Brunei and Macau SAR(2), and a 49 per cent joint venture in India. In addition, AIA has a 24.99 per cent shareholding in China Post Life Insurance Co., Ltd.

The business that is now AIA was first established in Shanghai more than a century ago in 1919. It is a market leader in Asia (ex-Japan) based on life insurance premiums and holds leading positions across the majority of its markets. It had total assets of US$328 billion as of 30 June 2025.

AIA meets the long-term savings and protection needs of individuals by offering a range of products and services including life insurance, accident and health insurance and savings plans. The Group also provides employee benefits, credit life and pension services to corporate clients. Through an extensive network of agents, partners and employees across Asia, AIA serves the holders of more than 43 million individual policies and over 16 million participating members of group insurance schemes.

AIA Group Limited is listed on the Main Board of The Stock Exchange of Hong Kong Limited under the stock codes “1299” for HKD counter and “81299” for RMB counter with American Depositary Receipts (Level 1) traded on the over-the-counter market under the ticker symbol “AAGIY”.

(1) Hong Kong SAR refers to the Hong Kong Special Administrative Region.

(2) Macau SAR refers to the Macau Special Administrative Region.

Industry
Finance & Insurance
Company Size
10,000+ employees
Headquarters
Central, HK
Year Founded
Unknown
Website
aia.com
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