Associate-Claims (Administration)

At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.

Sound like you Then read on.

About the Role

Provides high-quality claims services in authorized claims transactions for Major Claims (Critical Illness, Death, TPD and Payor Benefit) within the required benchmarks and in line with the Company and department goals

• Register, update and maintain major claims accurately in core claims systems by verifying completeness and validity of documents received within assigned authority limits and defined service level agreements (SLA).

• Ensure all written and system‑based communications meet company standards for clarity, accuracy, and customer experience.

• Maintain proper documentation, audit trails, and data accuracy to support internal controls, reporting, and regulatory requirements.

• Utilize digital tools, workflow systems, and automation solutions effectively to improve processing efficiency, accuracy, and turnaround times.

• Participate in continuous improvement initiatives by providing feedback on process gaps, system enhancements, or automation opportunities.

• Demonstrate adaptability by learning new systems, tools, and ways of working as claims processes evolve.

• Support a culture of collaboration, continuous learning, and service excellence within the claims team.

• Perform other operational tasks or duties assigned to support team objectives and business needs.

Requirements

• Bachelor's degree in health sciences, actuarial science, business analytics, business administration or related discipline.

• 1-3 years of relevant experience in claims assessment, healthcare administration, insurance operations or claims‑related financial reconciliation.

• Strong analytical and problem‑solving skills, with the ability to assess medical and financial information accurately and make sound claim decisions within established guidelines.

• Good digital literacy, with hands‑on experience or exposure to claims systems, workflow tools, or rule‑based processing environments.

• Basic awareness or exposure to automation, artificial intelligence (AI), or straight‑through processing concepts (e.g. automated adjudication, document recognition, system‑assisted decisioning) is an advantage.

• Ability and willingness to learn and work alongside AI‑enabled tools and automation solutions as part of daily claims operations.

• Strong follow‑up, time‑management, and prioritization skills to manage multiple tasks and meet defined turnaround times and service standards.

• Effective written and verbal communication skills for clear, professional interaction with internal stakeholders and external parties.

• Demonstrate commitment to continuous learning, skill development, and participation in process improvement initiatives.