Medical Advisory, Case And Fraud Management, Analyst

Kuala Lumpur, Malaysia

Job Description


At AIA weve started an exciting movement to create a healthier, more sustainable future for everyone.Its 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 RoleResponsible for providing technical medical expertise for claims decisions and resolution of customer enquiries and claims and managing healthcare related services provided to policy holders.Job Responsibilities

  • Process topup, additional doctor and additional procedure GL request for both individual and employee benefit portfolio.
  • Respond to inquiries of a technical or complex nature through case management.
  • Ensure to meet turn around time when issuing GL under complex and cross referral case
  • Ensure only legitimate claim is paid and achieve targeted cost avoidance when processing GL
  • Assist in medical training for internal division whenever is required.
Minimum Job Requirements:
  • Candidate must possess at least a Bachelor's Degree or Diploma.
  • Ideally for candidate with medical claim experience.
  • Technical Skills: Claims assessment, medical report knowledge, Health Insurance Policy knowledge.
  • Solid understanding and experience in GL and 13th Schedule is added advantage.
  • Industry: 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

Beware of fraud agents! do not pay money to get a job

MNCJobz.com will not be responsible for any payment made to a third-party. All Terms of Use are applicable.


Related Jobs

Job Detail

  • Job Id
    JD1041971
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Kuala Lumpur, Malaysia
  • Education
    Not mentioned