FIND YOUR BETTER AT AIA
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.
