Claim Analyst
1 week ago
At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.
- It’s 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 Role
Responsible for End to End Major claim process have good quality and valid as our policy provision.
- Monitoring performance reimburse process internal by create solution to minimize repetitive error or any delayed process.
- Analysis whole documents to make sure efficiency & effectiveness of pending claim.
- Minimize complaint and increase customer satisfaction
- Verify and analyze whole document claim (including claims that have been process by TPA) before refer claim to Investigator and make sure indication for claim investigation is needed.
- Cooperate with other department needed such as : Underwriting Dept related cases with PEC / NDC, Legal Depart, POS, etc that’s found at internal claim process.
- Involved as a member of product development team to ensure the benefit in the policy provision can be implemented in the claim process.
- Maintain and ensure SLA process achieved.
- Cooperate with Corporate Solution team related claim EB Major.
- Involved as a member of product development team to ensure the benefit in the policy provision can be implemented in the claim process
- Creating Correspondence Letter such as Return, Reminder, Patient Letter and Decline letter by manual to PIC Client/ Corporate Solution.
- Create/Provide Report Claim EB Major.
- Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._
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