# Non-Medical Claims, Consultant

**Company**: AIA Malaysia
**Location**: Kuala Lumpur, MY
**Experience**: senior
**Job type**: full-time
**Category**: Finance
**Industry**: Insurance

**Apply**: https://aia.wd3.myworkdayjobs.com/en-US/External/job/Kuala-Lumpur-MY-AIA-Malaysia/Non-Medical-Claims--Consultant_JR-68864?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_35536e7b-0cb

## Description

We are seeking a Non-Medical Claims, Consultant to lead and oversee the strategic and operational management of Individual Life claims. The successful candidate will ensure timely, compliant, and customer-focused service delivery, supporting the company's business goals, regulatory obligations, and departmental KPIs.

**Responsibilities:**

- Lead Life Claims Operations (30%): Oversee the assessment and governance of Life Claims to ensure timely, accurate, and compliant decisions.

- Drive Strategic Projects and Automation (25%): Lead digital transformation initiatives, including RPA, macro automation, and e-Submission platforms to improve efficiency, reduce manual work, and optimize resources.

- Enhance Process and Productivity (15%): Drive process improvements to boost productivity, reduce turnaround time, and ensure sustainable workload management.

- Stakeholder Engagement and Collaboration (10%): Foster strong partnerships with cross-functional teams to drive strategic initiatives and product launches.

- Team Leadership and Development (10%): Mentor and develop team members, foster engagement, and build a resilient, high-performing team culture.

- Compliance and Quality Assurance (10%): Ensure adherence to regulatory requirements and internal policies, with zero AML breaches and consistent audit compliance.

**Requirements:**

- Bachelor's Degree in Insurance, Business Administration, Finance, Law, Medical Sciences, or related disciplines.

- Minimum 8–10 years of claims experience within the insurance industry, with significant exposure to handling complex and high-value claims.

- Minimum 3–5 years of people management experience, including leading, coaching, and developing claims teams.

- Strong knowledge of life, health, medical, and major claims assessment principles, claims operations, and regulatory requirements.

- Proven experience in managing complex claims investigations, claim escalations, disputes, and stakeholder negotiations.

- Strong understanding of insurance industry regulations, governance, compliance requirements, and fair claims practices.

- Excellent analytical, decision-making, and problem-solving skills with the ability to exercise sound judgment in complex claim cases.

- Strong stakeholder management and communication skills, with the ability to engage effectively with senior management, reinsurers, medical professionals, legal partners, and external stakeholders.

- Demonstrated ability to drive operational excellence, process improvements, and service quality initiatives.

- Proficient in claims systems, data analysis, and Microsoft Office applications.

## Skills

### Required
- claims management
- process improvement
- team leadership
- regulatory compliance
- stakeholder management
- data analysis
- Microsoft Office

### Nice to have
- professional insurance qualifications
- claims transformation
- governance
- strategic claims initiatives

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Source: [Apply at aia.wd3.myworkdayjobs.com](https://aia.wd3.myworkdayjobs.com/en-US/External/job/Kuala-Lumpur-MY-AIA-Malaysia/Non-Medical-Claims--Consultant_JR-68864?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)