Kerja Sepenuh Masa, Individual- Employee Benefits Claims Management, Analyst (1 year contract) - Shift di AIA Malaysia Federal Territory - Maukerja

Job Highlights

• Creative and dynamic working environment
• Outstanding career development opportunities
• Employer of choice

Job Description

Responsible for performing pre-certification; prospective, concurrent and retrospective review of hospitalization; and to ensure that cost containment measures are carried out without compromising on the care quality and service standards.

Roles and Responsibilities:

• To support and lead a team of assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company’s requirements and guidelines.
• To ensure quality audits are done for the respective team members.
• To pre-certify cases for issuance of guarantee letter in compliance to Company’s requirements and guidelines assist the team target productivity benchmark.
• To ensure guarantee letters are issued accurately and correctly within targeted TAT and with authority assigned.
• To assist in the assignment and monitoring of all documents received in their respective team’s queues.
• To assist WFM (workforce management) team in ensuring sufficient headcount as scheduled on the shift rotation on a monthly basis to cater for the guarantee letter process.
• To ensure huddles and communications are carried out as per the agreed frequency.
• To ensure coaching and engagement activities are carried out for performance improvement and cost containment.
• To ensure that cases of fee disputes are handled and resolved within targeted TAT.
• To ensure that error rate in guarantee letter issuance is less than the target.
• To perform other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements.

Minimum Job Requirements:

• Candidate must possess at least a Bachelor's Degree, Post Graduate Diploma, Professional Degree or Master's Degree in Dentistry, Medicine, Medical Science, Biomedical, Nursing, Pharmacy, Pharmacology, Physiotherapy or equivalent.
• Candidate with claim experience is an added advantage.
• Fresh Graduate with medical background is encouraged to apply.
• Full-Time position(s) available.
• Technical Skills: Claims assessment, Medical report knowledge, Health Insurance Policy knowledge.
• Industry: Health Insurance, Third-Party Administrator, Hospitals, Clinics, Medical Labs.
• Language: English and Bahasa Malaysia.
• Willing to work on 24/7 rotational shift.

REMARK:

This is a 1-year contract role, with opportunity to renew contract, subject to individual's performance and position availability.