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Medical Claims Specialist - Mandarin Speaker

Remote: 
Full Remote
Contract: 
Full time
Experience: 
Mid-level (2-5 years)
Work from: 
Malaysia

Offer summary

Qualifications:

Educational background in related fields, Minimum 2 years medical claims experience, Must speak Mandarin fluently, Ability to read and write Chinese is a plus, Willingness to work onsite 4 days a week.

Key responsabilities:

  • Process inpatient and outpatient claims transactions
  • Meet quality, productivity benchmarks and turnaround time
  • Train new joiners on claims processing rules
  • Conduct regular claims performance reviews for improvement
  • Organize team engagement activities for better environment
AIA logo
AIA Insurance XLarge https://www.aia.com/
10001 Employees
About AIA
The roots of today’s AIA Group can be traced to 1919 when entrepreneur Cornelius Vander Starr established his first insurance business in Shanghai, China. What followed was pioneering growth, securing AIA’s position as the largest independent publicly listed pan-Asian life insurance group — spanning 18 markets and serving the holders of more than 41 million individual policies and 17 million group scheme members. AIA is based in Hong Kong and is listed on the Main Board of The Stock Exchange of Hong Kong Limited under the stock codes “1299” for HKD counter and “81299” for RMB counter with American Depositary Receipts (Level 1) traded on the over-the-counter market under the ticker symbol “AAGIY”. AIA’s contributions have supported social and economic progress across Asia, while also advancing the reach and impact of life insurance across the region. We also take pride in the long-term relationships we have developed with our customers and agents that in many cases have continued for generations. The insurance industry plays an important role in addressing the sustainability challenges our communities face. With this in mind, AIA’s ambition is to be a global industry leader in Environmental, Social, Governance (ESG), shaping a sustainable future for the communities we serve and creating long-term value for our stakeholders. For more than a century, AIA has strived to make a significant, positive impact for our customers and communities across Asia. As we look to the future, this commitment is reinforced by our Purpose: to help millions of people live Healthier, Longer, Better Lives. Our Purpose guides the decisions we make and the actions we take as an organization — empowering and enabling people to understand and manage their health, while meeting their long-term savings and protection needs. Helping create a healthier Asia is one of the most important and valuable things we can do for our communities, today and tomorrow.
See more AIA offers

Job description

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

Process authorized inpatient & outpatient claims transactions within the required benchmarks.

  • Process all Inpatient, Outpatient claims and pre-approval requests received as per stipulated requirements
  • Ensure meeting individual quality, turn around time and productivity benchmark
  • Review/approve cases that exceeds subordinates’ authority
  • Respond to email enquiries from internal and external parties
  • Perform outbound call to customers when required     
  • Training of new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases
  • Providing training in System Navigation and Processing Steps, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.             
  • Conduct regular claims review in claims performance to ensure claims principles/authorities are adhered to. Review claims decision making process to identify areas of claims risk management concerns for further improvements.    
  • Organize and implement team engagement activities to foster closer team spirit and create work life balance environment.
  • Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements

Qualifications

  • Educational background in Biomedical, Biotechnology, Nursing, Medicine, Chemistry or related fields
  • Candidate MUST able to speak Mandarin. Ability to read and write Chinese would be an added advantage.
  • Possess a minimum of 2 years experience in Medical/Life Claims processing experience
  • Comfortable working onsite in Cyberjaya 4 days a week and 1 day work from home

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.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Chemistry EducationBiotechnologyBiomedical SciencesTeam ProcessesClaims ProcessingMedical HumanitiesNurse Education

Other Skills

  • Training And Development
  • Analytical Thinking
  • Verbal Communication Skills
Are you interested?

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