Minor Claim Analyst

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

Sound like you? Then read on.

About the Role

Responsible for providing technical medical expertise for decisions and resolution of customer enquiries and claims and managing healthcare related services provided to policy holders.

Main responsibilities:

Ensure claim process at TPA have good quality and valid as our policy provision

Analyze TPA cashless claim

Secondary layer review case amount >20 million before creating CDV

Monitoring cashless performance at TPA by creating solution to minimize repetitive error or any delayed process

Minimize complaint and increase customer satisfaction

Cooperate with Underwriting Dept related cases with PEC/NDC that's found at TPA claim process

Respond any enquiry from provider related claim payment by AIA

Ad hoc:

Report NDC find...