Employee Benefits Claims Management, Analyst at AIA Malaysia (Insurance) - Kuala Lumpur

The Employee Benefits Claims Management Analyst is responsible for determining the validity and authorizing the settlement of group health insurance claims. This role operates in a fast-paced environment, focusing on compliance and process improvements while maintaining confidentiality.

As an Analyst in Employee Benefits Claims Management, you will engage in daily adjudication of medical claims and establish coverage based on medical documentation. You will ensure compliance with company guidelines while identifying opportunities for process enhancements.

Key Responsibilities:

• Adjudicate medical claims within assigned limits.
• Establish coverage based on medical documentation.
• Ensure compliance with company guidelines.
• Identify process improvements.
• Maintain strict confidentiality.
• Meet specified turnaround times.
• Work in a fast-paced operational setting.