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.

WE ARE LOOKING FOR

To process, approve and ensure payment is paid accurately and timely within the turnaround time set and continuous improvement of work process to achieve operational excellence contributing to division's KPI.

• Ensure completeness of claims documents as per internal guideline.
• Establish covered medical insurance losses against benefits coverage and eligibility.
• Establish proof of loss by studying medical bill documentation; assembling additional information as required from other sources, such as
• claimant history, type of medication & procedures, etc. Escalate questionable claims to the direct supervisor/medical advisory officers
• Ensure claims are processed within the specified turnaround time
• Ensure confidentiality of all claims information, inclusive of claims guidelines and internal controls.
• Maintains quality customer services by following customer service practices; responding to customer inquiries.
• Accomplish organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to the organization.
• Any other duties as assigned.

• Quality checks must be performed for every claim to ensure claims are processed and paid accurately based on benefits coverage.
• Ensure legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
• Acquire at least 10 hours of training every year
• Handle feedback, enquiries and complaints on claim related matters from internal and external parties in the appropriate manner.

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.