Job Description

At AIA we\xe2\x80\x99ve started an exciting movement to create a healthier, more sustainable future for everyone.

It\xe2\x80\x99s 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.

About the Role

Responsible for performing pre-certification; prospective, concurrent and retrospective review of hospitalization.

Roles and Responsibilities:

• To support a team of assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company\xe2\x80\x99s requirements and guidelines.
• To ensure quality audits are done for the respective team members.
• To ensure guarantee letters are issued accurately and correctly in timely manner and with authority assigned.
• To assist in the assignment and monitoring of all documents received in their respective team\xe2\x80\x99s queues.
• To ensure that cases of fee disputes are handled and resolved within targeted TAT.
• To reduce error rate in guarantee letter issuance less than the target.
• To perform other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements.

Minimum Job Requirements:

• Candidate must possess at least a Bachelor\'s Degree, Post Graduate Diploma, Professional Degree or Master\'s Degree in Dentistry, Medicine, Medical Science, Biomedical, Nursing, Pharmacy, Pharmacology, Physiotherapy or equivalent.
• Candidate with claim experience is an added advantage.
• Fresh Graduate with medical background is encouraged to apply.
• Technical Skills: Claims assessment, Medical report knowledge, Health Insurance Policy knowledge.
• Industry: Health Insurance, Third-Party Administrator, Hospitals, Clinics, Medical Labs.
• Language: English and Bahasa Malaysia.

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.

AIA