FIND YOUR 'BETTER' AT AIA

We don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us.

We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives.

If you believe in better, we’d love to hear from you.

About the Role

This role is pivotal in driving our company’s development strategy to expand profitability through effective cost containment in life and health insurance claims. The ideal candidate will possess extensive knowledge and experience in both life and health insurance, with a strong background in medical systems and health management services.

Responsibilities:

Claims Operational Best Practice

• Lead initiatives to optimize claims assessment rules and cost containment within life and health insurance operations.
• Implement best practices to streamline processes and reduce unnecessary expenditures.
• Analyze claims data to identify cost drivers and develop strategies to mitigate.

Claims Cost/Risk and Network Integration

• Utilize your solid medical background to close collaboration and support network providers/panel doctors to define selected packages, discount, ensure R&C and medically necessary procedure performed.
• Develop and deliver training programs to equip doctors with the skills needed to understand insurance protocols.

Claims Management and Optimization

• Assist in the review and assessment of complex insurance claims, leveraging medical expertise to ensure accurate and fair evaluations.
• Provide ongoing training and support to enhance the claims handling capabilities.
• Work closely with other departments to align cost containment strategies with overall business objectives.

Requirements:

• Bachelor’s degree in a medical field, a master’s degree is preferred.
• Minimum 8 years of life and health insurance claims management, cost containment specialty with 5 years of team management experience.
• Health management and risk control related experience is preferred.
• Solid work experience in Life and Health insurance industry with specialties in claims, cost containments.Management and training experience.
• Strong leadership skills, communication, and interpersonal skills.
• Ability to work collaboratively with cross-functional teams.
• Proactive approach to problem-solving, strong analytical skills and communications skills

Others:

• You are required to obtain relevant license if your job involves in regulated activities

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.