Non-Medical Claims Specialist

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 peoples 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 incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims)

Roles And Responsibilities

• Major Claims Processing: Handle and settle both incontestable and contestable major claims (e.g., Critical Illness, Total and Permanent Disability, Dismemberment, Death) within the agreed turnaround time (TAT) and in compliance with established procedures and guidelines.
• Pending Case Management: Review all pending cases monthly and work towards reducing the pending ratio in line with agreed targets.
• OPAT Savings: Monitor closed file reviews and ensure timely provision reversals to achieve operational savings.
• Productivity & Accuracy: Meet claims productivity benchmarks within authority limits, delivering work with high accuracy and efficiency.
• Stakeholder Communication: Respond promptly to enquiries, calls, and emails from relevant stakeholders—within two (2) business days.
• Suspense Case Management: Clear suspense cases within five (5) days from the date the email is received.
• Additional Duties: Perform other responsibilities, projects, and special assignments as periodically assigned by the supervisor to meet operational or organizational requirements.
  
  

• Bachelors 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.