Non- Medical Claims, Specialist

  • Kuala Lumpur
  • Permanent
  • Full-time
  • 7 days ago
At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone. Sound like you Then read on. 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.

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