Non-Medical Claims, Analyst

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

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About the Role

Process incontestable and contestable major claims in individual life policies

Position Objectives:

• To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes 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.
• OPAT savings - To monitor 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.
• Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.
• Attend to enquiries / emails promptly and satisfactory. Other Functions . Suspense management - suspense is cleared within 5 days.
• Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements.

Minimum Job Requirements:

• Bachelor's 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.