Medical Claims Assessor

Start building a career with purpose.

At AIA, your perspective, curiosity and ideas can contribute to our Purpose of helping millions of people live Healthier, Longer, Better Lives. Across our diverse markets, you will learn through meaningful work, collaborate with experienced colleagues and build practical skills as you turn fresh ideas into positive outcomes and a more sustainable future for our customers and communities.

Join us to explore new possibilities, grow through real experiences and start making an impact across Asia.

About the Role

Process authorized claims transactions within the required benchmarks for Hong Kong market based on guidelines set for the issuance of AIA insurance policies.

Job Responsibilities:

• Process all Life Claims / Corporate Solutions (CS) / Pre-Authorisation (PA) claims requests received as per stipulated requirements.
• Evaluate and capture all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim system.
• Ensure meeting individual quality, turnaround time and productivity benchmark.
• Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements.
• Prepares regular reporting to management on metrics relating to business, operations, risk, compliance, workforce, etc. or statutory authorities on regulatory metrics.
• Develop procedures for reporting, extract, collate and populate data to reporting template.
• Validate data accuracy and liaise with relevant parties to rectify data quality.

Job Requirements:

• Open to fresh graduates, experienced Medical Claims Assessors, and candidates from laboratory, nursing, or other healthcare-related backgrounds.
• Diploma or Degree in Biology, Biotechnology, Medical Science, Social Science, Business Management, or other relevant qualifications.
• Good command of spoken and written English and Chinese. Ability to communicate in Cantonese is an added advantage. Pass in SPM Chinese is required.
• Self-motivated, customer-focused, and able to work independently.
• Strong time management and organizational skills.
• Proficient in Microsoft Office applications.
• Positive attitude, strong work ethic, and willingness to learn.
• Able to work in a desk-based environment and support overtime when required, including weekends and public holidays.
• Willing to follow the Hong Kong working calendar and business schedule.

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.