Description
At AIA, we've started an exciting movement to create a healthier, more sustainable future for everyone.
We're looking for a Claims Analyst to support assigned channels by providing full claims support advisory.
Responsibilities:
- Process and decide on claim settlements and approve within authority limit
- Ensure all enquiries are responded to in a timely manner
- Work closely with brokers, corporate clients, and OSS on claims matters, enquiries, and complaints
- Liaise with healthcare providers and TPAs
- Present to brokers and corporate clients on claim processes
- Track operational statistics for Claims reporting
- Handle exceptional claims escalated issues and appeals
- Perform claims audits and reviews as assigned
- Carry out tasks assigned by the Team Lead and Head of Claims
- Manage and respond to escalation cases and requests from OSS Contact Centre, Claims, PMM team, Brokers, Direct clients, and internal sections
- Perform claims data analysis to monitor results and identify gaps or trends as part of Pro-Active Claims Management
- Plan and execute User Acceptance Test (UAT) test scenarios for digital projects and system enhancements
- Support other enhancements and internal and external projects as assigned
Requirements:
- Degree holder in Business or a related discipline preferred
- At least 3 years of experience in Employee Benefits Claims, Medical Claims, or Third-Party Administration management
- Strong analytical and problem-solving skills, with an interest in digitalization and operational systems efficiency
- Good verbal and written communication skills, with strong interpersonal skills
- Ability to multi-task, meet tight deadlines, and work in a fast-paced environment
- Self-motivated, highly organized, able to work independently, and goal-oriented
- Experience in data analysis is an added advantage
Benefits:
- Build a career with AIA as we help our customers and the community live Healthier, Longer, Better Lives
- Empowering employees to find their 'better' in work, career, life, and the difference they make
This listing is enriched and indexed by YubHub. To apply, use the employer's original posting:
https://aia.wd3.myworkdayjobs.com/en-US/External/job/SG-Tampines-Agency-Building/Claims--Analyst_JR-61835