aia
aia26d ago
New

Non-Medical Claims, Consultant

MalaysiaMalaysia·Kuala Lumpur
OtherConsultant
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Quick Summary

Key Responsibilities

Responsible for the targets and deliverables of Team KPI as defined in the Goal Setting. Review / approve claims within approval authority, in compliance with provisions and guidelines,

Requirements Summary

daily performance, weekly forecast etc.. Minimum Job Requ

Technical Tools
OtherConsultant

We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.

We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.

About the Role

~1 min read

1. Provide technical aspect of coaching and guidance to claims team.
2. Monitor to ensure daily and monthly KPI is met for team and department.
3. Handle complaint, dispute and/or litigation claim case.
4. Involve in projects and initiatives relating to process improvement.

Responsibilities

~1 min read
  • Responsible for the targets and deliverables of Team KPI as defined in the Goal Setting.
  • Review / approve claims within approval authority, in compliance with provisions and guidelines, recommend to higher authority for claims exceeding approval limit.
  • Pending Claims & Suspense account Management – to ensure ratio meet or exceed target set. Handling correspondence with regulator and lawyer for complaint, dispute and/or litigated cases.
  • Signing insurance coverage cancellation and claim rejection letter.
  • Support new products launching and work with business analyst team to review product specification, user requirement, test script, etc..
  • Conduct roadshow, workshop for sales team. Review processes and system enhancement for operational efficiency and effectiveness, increase productivity and improve TAT (turnaround time).
  • Conduct self-audit review and dealing with external / internal auditor to provide requirements.
  • Staff coaching, guidance and training for skill / knowledge growth and development.
  • Prepare active operations management report: daily performance, weekly forecast etc..

Requirements

~1 min read
  • Education – Degree in Medicine, Bioscience, Life Sciences, or other discipline which is relevant.
  • Experience – more than 7 years working experience in life claims processing field.
  • Sound knowledge in life claims assessment, requirements, procedures, and processing including Financial Services Act, etc..
  • Language skills – Good writing, communication, interpersonal and presentation skills.
  • Able to speak and write English and Bahasa Malaysia; Mandarin would be an advantage.
  • Microsoft Office Software skills – sound knowledge in applying Word, Excel and Power Point.

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.

Location & Eligibility

Where is the job
Kuala Lumpur, Malaysia
On-site at the office
Who can apply
MY

Listing Details

Posted
May 4, 2026
First seen
May 30, 2026
Last seen
May 30, 2026

Posting Health

Days active
0
Repost count
0
Trust Level
13%
Scored at
May 30, 2026

Signal breakdown

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aiaNon-Medical Claims, Consultant