Medical Claims Assessor

Overview Your Role with Us As a Medical Claims Assessor, you play a vital role in supporting customers through important life moments by managing claims with care, accuracy, and empathy. Working within AIA’s Claims team, you assess and investigate claims, communicate decisions clearly, and collaborate with a wide range of internal and external stakeholders to deliver positive customer outcomes. This is a fast-paced role where your judgement, problem-solving skills, and customer focus help ensure fair and timely decisions. Alongside day-to-day claims management, you contribute to continuous improvement initiatives that strengthen processes, enhance service experiences, and support AIA’s purpose of helping people live Healthier, Longer, Better Lives. Your Impact Assess and investigate claims thoroughly to deliver accurate, fair, and timely claim decisions. Communicate claim outcomes clearly and empathetically, creating positive experiences for customers and stakeholders. Build trusted relationships with internal and external stakeholders to support efficient and effective claims processing. Manage claims administration accurately, maintaining quality records, authorising payments, and ensuring compliance with processes. Identify and investigate potential risks, non-disclosure, and fraud to protect the integrity of the claims process. Contribute to process improvements, projects, and testing activities that enhance service quality and operational performance. Capabilities You have experience in claims, administration, customer service, or a related environment where accuracy and attention to detail are important. You bring strong communication and emotional intelligence, enabling you to support customers with empathy while managing sensitive situations. You have the ability to analyse information, apply sound judgement, and make well-considered decisions in complex or evolving circumstances. You bring a proactive approach to problem solving, balancing customer outcomes with process compliance and risk management. You have confidence using digital tools and systems to manage information, maintain records, and deliver efficient service. You may also have experience in the health, insurance, or financial services sectors, along with familiarity with medical terminology or claims assessment practices. Note Job ad expires Monday 13 July, close of business. #J-18808-Ljbffr