AIA

Specialist - Medical Major Claims

AIA  •  Cyberjaya, MY (Onsite)  •  5 hours ago
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Job Description

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.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About the Role

• Process/assess authorized claims transactions, ensuring accuracy and efficiency in claims handling within the required SLA (Service Level Agreement)
• Coordinate team activities and performance that support the above objective

Claims Process / Assessment 80%

  • Accurately process/assess major claims in adherence to company guideline and quality standard
  • Review and approve cases that is within the claims authority granted including cases that exceeded subordinate’s authority
  • Document claims assessments comprehensively, ensuring transparency and clarity in decision making.
  • Ensure meeting individual quality, turnaround time and productivity benchmark
  • Shows keenness to develop technical competency by extending claims scope handle or authority limits
  • Maintain a good personal record of training in line with the training framework of the Company
  • Assist to guide new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases
  • Demonstrate excellent customer centric mindset through highly engaged culture

Other miscellaneous tasks20%

  • Perform other responsibilities and duties periodically assigned by supervisor / manager in order to meet business requirements

Participate in departmental/organizational activities, programs and other tasks required

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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