23 Medical Claims jobs in Malaysia

AIA Malaysia Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia

Get AI-powered advice on this job and more exclusive features.

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

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About The Role

Process incontestable and contestable major claims in individual life policies

Position Objectives

• To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy.
  
  

Roles And Responsibilities

• Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines.
• Review pending cases every month and reduce pend ratio on the agreed goal set.
• OPAT savings – To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence.
• Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy.
• Attend to enquiries / emails promptly and satisfactory. Other Functions
• Suspense management – suspense is cleared within 5 days.
• Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements.
  
  

Minimum Job Requirements

• Bachelor's degree holder or equivalent.
• Minimum 5 years working experience in insurance industry.
• Independent and self-starter.
• Customer service oriented, positive attitude and good interpersonal skills
• Spoken and written in both English and Malay language.
• Good Knowledge in claims assessments, FSA 2013 and technical skills.
  
  

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.

Seniority level

• Seniority level Associate

Employment type

• Employment type Full-time

Job function

• Job function Finance and Sales
• Industries Insurance

Referrals increase your chances of interviewing at AIA Malaysia by 2x

Get notified about new Claims Analyst jobs in Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia .

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago

Claims Adjuster (Reinsurance/Property Claims/Casualty Claims) Reinsurance or Marine Claims Adjuster / Claims Executive

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago

Unit Head, Fast Track & Co/RI Claims(Fire/Eng/Misc/Marine)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 6 days ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Financial Accountant (Claim and Reservation) Assistant Manager, Claims, Property & Casualty

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 6 days ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago

Assistant Manager, Underwriting & Risk Management Analyst (General Insurance)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago

Associate, Company Secretary (Secretarial)

Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 13 hours ago

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AIA Malaysia Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia Get AI-powered advice on this job and more exclusive features. At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About The Role

Process incontestable and contestable major claims in individual life policies

Position Objectives

To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy.

Roles And Responsibilities

Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines. Review pending cases every month and reduce pend ratio on the agreed goal set. OPAT savings – To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence. Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy. Attend to enquiries / emails promptly and satisfactory. Other Functions Suspense management – suspense is cleared within 5 days. Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements.

Minimum Job Requirements

Bachelor's degree holder or equivalent. Minimum 5 years working experience in insurance industry. Independent and self-starter. Customer service oriented, positive attitude and good interpersonal skills Spoken and written in both English and Malay language. Good Knowledge in claims assessments, FSA 2013 and technical skills.

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. Seniority level

Seniority level Associate Employment type

Employment type Full-time Job function

Job function Finance and Sales Industries Insurance Referrals increase your chances of interviewing at AIA Malaysia by 2x Get notified about new Claims Analyst jobs in

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia . Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Claims Adjuster (Reinsurance/Property Claims/Casualty Claims)

Reinsurance or Marine Claims Adjuster / Claims Executive

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Unit Head, Fast Track & Co/RI Claims(Fire/Eng/Misc/Marine)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 6 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Financial Accountant (Claim and Reservation)

Assistant Manager, Claims, Property & Casualty

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 6 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Assistant Manager, Underwriting & Risk Management Analyst (General Insurance)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Associate, Company Secretary (Secretarial)

Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 13 hours ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

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AIA Malaysia Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia Join or sign in to find your next job

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Non- Medical Claims, Analyst

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Non- Medical Claims, Analyst

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AIA Malaysia Get AI-powered advice on this job and more exclusive features. At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone.

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About The Role

Process incontestable and contestable major claims in individual life policies

Position Objectives

To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy.

Roles And Responsibilities

Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines. Review pending cases every month and reduce pend ratio on the agreed goal set. OPAT savings – To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence. Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy. Attend to enquiries / emails promptly and satisfactory. Other Functions Suspense management – suspense is cleared within 5 days. Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements.

Minimum Job Requirements

Bachelor's degree holder or equivalent. Minimum 5 years working experience in insurance industry. Independent and self-starter. Customer service oriented, positive attitude and good interpersonal skills Spoken and written in both English and Malay language. Good Knowledge in claims assessments, FSA 2013 and technical skills.

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. Seniority level

Seniority level Associate Employment type

Employment type Full-time Job function

Job function Finance and Sales Industries Insurance Referrals increase your chances of interviewing at AIA Malaysia by 2x Sign in to set job alerts for “Claims Analyst” roles.

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Non-Medical Claims (Personal Accident), Analyst

WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Casualty / Liability / Reinsurance / Property Claims Adjuster

Subang Jaya, Selangor, Malaysia 18 hours ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 days ago Operations Specialist - General Insurance Claims

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kota Damansara, Selangor, Malaysia 3 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Medical Claims Analyst (1 year contract)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Petaling Jaya, Selangor, Malaysia 6 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Unit Head, Fast Track & Co/RI Claims(Fire/Eng/Misc/Marine)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Assistant Manager, Claims, Property & Casualty

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Processing Services Specialist, Worker’s Compensation Claims

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 22 hours ago PEMBANTU TADBIR (PERKERANIAN/OPERASI) GRED N1

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Assistant Manager, Underwriting & Risk Management Analyst (General Insurance)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago Associate, Company Secretary (Secretarial)

Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur City, Federal Territory of Kuala Lumpur, Malaysia 5 months ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

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Non- Medical Claims, Specialist page is loaded Non- Medical Claims, Specialist Apply locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 4 Days Ago job requisition id JR-57148

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030. And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business. Sound like you? Then read on. About the Role Process incontestable and contestable major claims in individual life policies

Position Objectives: To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy. Roles and Responsibilities: Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines. · Review pending cases every month and reduce pend ratio on the agreed goal set. OPAT savings – To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence. Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy. Attend to enquiries / emails promptly and satisfactory. Other Functions · Suspense management – suspense is cleared within 5 days. Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements. Minimum Job Requirements: Bachelor's degree holder or equivalent. Minimum 5 years working experience in insurance industry. Independent and self-starter. Customer service oriented, positive attitude and good interpersonal skills Spoken and written in both English and Malay language. Good Knowledge in claims assessments, FSA 2013 and technical skills. 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. Similar Jobs (4)

Non-Medical Claims (PA), Analyst locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 30+ Days Ago Non-Medical Claims, Analyst locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 30+ Days Ago Non-Medical Claims, Consultant locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 14 Days Ago 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, build healthier societies and cultivate healthier environments that better everyone. If you believe in better, we’d love to hear from you.

#J-18808-Ljbffr

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

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About The Role

Process authorized inpatient & outpatient claims transactions within the required benchmarks.

• Process all Inpatient, Outpatient claims and pre-approval requests received as per stipulated requirements
• Ensure meeting individual quality, turn around time and productivity benchmark
• Review/approve cases that exceeds subordinates’ authority
• Respond to email enquiries from internal and external parties
• Perform outbound call to customers when required
• Training of new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases
• Providing training in System Navigation and Processing Steps, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines.
• Conduct regular claims review in claims performance to ensure claims principles/authorities are adhered to. Review claims decision making process to identify areas of claims risk management concerns for further improvements.
• Organize and implement team engagement activities to foster closer team spirit and create work life balance environment.
• Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements
  
  

Qualifications

• Educational background in Biomedical, Biotechnology, Nursing, Medicine, Chemistry or related fields
• Candidate MUST able to speak Mandarin. Ability to read and write Chinese would be an added advantage.
• Possess a minimum of 2 years experience in Medical/Life Claims processing experience
• Comfortable working onsite in Cyberjaya 4 days a week and 1 day work from home
  
  

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.

Seniority level

• Seniority level Mid-Senior level

Employment type

• Employment type Full-time

Job function

• Job function Health Care Provider
• Industries Insurance

Referrals increase your chances of interviewing at AIA Shared Services by 2x

Get notified about new Medical Specialist jobs in Cyberjaya, Selangor, Malaysia .

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Assistant Manager, Network Management Medical Network Management

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr

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

It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030.

And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business.

Sound like you? Then read on.

About The Role

Process authorized inpatient & outpatient claims transactions within the required benchmarks.

Process all Inpatient, Outpatient claims and pre-approval requests received as per stipulated requirements Ensure meeting individual quality, turn around time and productivity benchmark Review/approve cases that exceeds subordinates’ authority Respond to email enquiries from internal and external parties Perform outbound call to customers when required Training of new joiners on claims processing rules and products knowledge including Review and Feedback for On-The-Job training cases Providing training in System Navigation and Processing Steps, towards certification with Claims Approval Authority, as stipulated in the Claims Approval Authority guidelines. Conduct regular claims review in claims performance to ensure claims principles/authorities are adhered to. Review claims decision making process to identify areas of claims risk management concerns for further improvements. Organize and implement team engagement activities to foster closer team spirit and create work life balance environment. Performs other responsibilities and duties periodically assigned by immediate manager in order to meet business requirements

Qualifications

Educational background in Biomedical, Biotechnology, Nursing, Medicine, Chemistry or related fields Candidate MUST able to speak Mandarin. Ability to read and write Chinese would be an added advantage. Possess a minimum of 2 years experience in Medical/Life Claims processing experience Comfortable working onsite in Cyberjaya 4 days a week and 1 day work from home

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. Seniority level

Seniority level Mid-Senior level Employment type

Employment type Full-time Job function

Job function Health Care Provider Industries Insurance Referrals increase your chances of interviewing at AIA Shared Services by 2x Get notified about new Medical Specialist jobs in

Cyberjaya, Selangor, Malaysia . Paramedics (Emergency Medical Care/ $3k-$6k) - VH

WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Operational Technology (OT) Security Analyst

WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Senior Analyst, General Ledger (Japanese Speaker)

Petaling Jaya, Selangor, Malaysia 2 days ago Petaling Jaya, Selangor, Malaysia 9 hours ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Finance Senior Analyst/Analyst - Japanese Speaker

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Executive, Customer Promise - Healthcare Claims

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 months ago Petaling Jaya, Selangor, Malaysia 2 days ago Petaling Jaya, Selangor, Malaysia 1 day ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Petaling Jaya, Selangor, Malaysia 1 month ago Client Value Partner equivalent to Medical Sales Representative ( Central & N. Sembilan)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Administrative Support Specialist - Medical Affairs

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 months ago Petaling Jaya, Selangor, Malaysia 1 day ago WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Medical Sales Representative ( Govt Hosp Team)

Federal Territory of Kuala Lumpur, Malaysia 1 week ago Medical Account Manager - Central and Pahang

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Manager, Medical Advisor & Case Management

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Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 months ago Assistant Manager, Network Management Medical Network Management

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

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Medical Claims Analyst (1 year contract)

106687

Utilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency.

Job Accountabilities - Key Accountabilities

• Ensure monthly reporting of Business Units to the data warehouse and constantly improve data quality and enhancing granularity and claims history as required to ensure effective performance management. Roll out enhanced reporting and analytics capabilities to the Business Units including embedding efforts to ensure effective usage of claims analytics applications.
• Identify deep dive areas in close collaboration with local Business Units. Provide an independent view of the issues and drive resolution, follow up and learning.
• Provide structured claims insight in close collaboration with other General Insurance functions at global, regional and local level to foster informed decision making.
• Drive the capability and up-skilling efforts in Business Units with adequate measures such as eLearning’s “General Insurance Claims – Managing by Numbers” to improve the effectiveness of performance management.
• Drive the further Business Unit based enhancement of Claims data and analytics in close collaboration with the local claims controlling teams including the sourcing of more granularity and up to 10 years of claims history.
• Contribute through requirements specification to the further enhancement of other claims data analytics systems.
• Foster the claims contribution in the Virtuous Circle discussion and foster the cross functional collaboration with Underwriting/Pricing, Reserving, Operations and Finance.
• Provide any sort of claims ad hoc analysis using sophisticated tools and technics.
• Drive the claims functional planning process for Zurich branches, ensure actionable insight, decisions and follow up.
• Drive the review process for branch, ensure actionable insight, decisions and follow up.
• Conduct sophisticated claims data mining and analytic investigations to spot underlying root causes on behalf of the Claims Analyst and Management.
• Provide detailed procedural advice to internal clients to ensure that internal standards are adhered to.
• Utilize established financial systems to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency.
• Act as a subject matter expert on the operational and financial claims performance process.
• Provide specialist advice to address specific queries from internal client area and deliver appropriate solutions.

Business Accountabilities

• Research primary data sources, select relevant information, analyze key themes and trends and make recommendations to inform policy and/or product development.
• Research, review and analyze claims handling protocol and/or customer proposition to support senior management in developing and improving processes and systems relevant to area of discipline.
• Provide specialist advice to address specific technical queries from internal clients and deliver appropriate solution, in line with the organization's policies and processes and regulatory requirements.

Job Qualifications

Required:

• A bachelor's degree in a relevant field.

Preferred:

• Extensive experience in medical claims processing and analysis
• Familiarity with insurance policies and industry regulations
• Strong analytical skills to review and assess complex medical claims for accuracy, compliance, and eligibility.

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Job Summary

Utilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency.

Job Accountabilities - Key Accountabilities

• Ensure monthly reporting of Business Units to the data warehouse and constantly improve data quality and enhancing granularity and claims history as required to ensure effective performance management. Roll out enhanced reporting and analytics capabilities to the Business Units including embedding efforts to ensure effective usage of claims analytics applications.
• Identify deep dive areas in close collaboration with local Business Units. Provide an independent view of the issues and drive resolution, follow up and learning.
• Provide structured claims insight in close collaboration with other General Insurance functions at global, regional and local level to foster informed decision making.
• Drive the capability and up-skilling efforts in Business Units with adequate measures such as eLearning’s “General Insurance Claims – Managing by Numbers” to improve the effectiveness of performance management.
• Drive the further Business Unit based enhancement of Claims data and analytics in close collaboration with the local claims controlling teams including the sourcing of more granularity and up to 10 years of claims history.
• Contribute through requirements specification to the further enhancement of other claims data analytics systems.
• Foster the claims contribution in the Virtuous Circle discussion and foster the cross functional collaboration with Underwriting/Pricing, Reserving, Operations and Finance.
• Provide any sort of claims ad hoc analysis using sophisticated tools and technics.
• Drive the claims functional planning process for Zurich branches, ensure actionable insight, decisions and follow up.
• Drive the review process for branch, ensure actionable insight, decisions and follow up.
• Conduct sophisticated claims data mining and analytic investigations to spot underlying root causes on behalf of the Claims Analyst and Management.
• Provide detailed procedural advice to internal clients to ensure that internal standards are adhered to.
• Utilize established financial systems to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency.
• Act as a subject matter expert on the operational and financial claims performance process.
• Provide specialist advice to address specific queries from internal client area and deliver appropriate solutions.

Business Accountabilities

• Research primary data sources, select relevant information, analyze key themes and trends and make recommendations to inform policy and/or product development.
• Research, review and analyze claims handling protocol and/or customer proposition to support senior management in developing and improving processes and systems relevant to area of discipline.
• Provide specialist advice to address specific technical queries from internal clients and deliver appropriate solution, in line with the organization's policies and processes and regulatory requirements.

Job Qualifications

Required:

• A bachelor's degree in a relevant field.

Preferred:

• Extensive experience in medical claims processing and analysis
• Familiarity with insurance policies and industry regulations
• Strong analytical skills to review and assess complex medical claims for accuracy, compliance, and eligibility.

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Job Summary Utilize established financial systems and roll out enhanced analytics capabilities to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency. Job Accountabilities - Key Accountabilities

Ensure monthly reporting of Business Units to the data warehouse and constantly improve data quality and enhancing granularity and claims history as required to ensure effective performance management. Roll out enhanced reporting and analytics capabilities to the Business Units including embedding efforts to ensure effective usage of claims analytics applications. Identify deep dive areas in close collaboration with local Business Units. Provide an independent view of the issues and drive resolution, follow up and learning. Provide structured claims insight in close collaboration with other General Insurance functions at global, regional and local level to foster informed decision making. Drive the capability and up-skilling efforts in Business Units with adequate measures such as eLearning’s “General Insurance Claims – Managing by Numbers” to improve the effectiveness of performance management. Drive the further Business Unit based enhancement of Claims data and analytics in close collaboration with the local claims controlling teams including the sourcing of more granularity and up to 10 years of claims history. Contribute through requirements specification to the further enhancement of other claims data analytics systems. Foster the claims contribution in the Virtuous Circle discussion and foster the cross functional collaboration with Underwriting/Pricing, Reserving, Operations and Finance. Provide any sort of claims ad hoc analysis using sophisticated tools and technics. Drive the claims functional planning process for Zurich branches, ensure actionable insight, decisions and follow up. Drive the review process for branch, ensure actionable insight, decisions and follow up. Conduct sophisticated claims data mining and analytic investigations to spot underlying root causes on behalf of the Claims Analyst and Management. Provide detailed procedural advice to internal clients to ensure that internal standards are adhered to. Utilize established financial systems to track budgets and highlight variances in order to achieve financial effectiveness and operational efficiency. Act as a subject matter expert on the operational and financial claims performance process. Provide specialist advice to address specific queries from internal client area and deliver appropriate solutions. Business Accountabilities

Research primary data sources, select relevant information, analyze key themes and trends and make recommendations to inform policy and/or product development. Research, review and analyze claims handling protocol and/or customer proposition to support senior management in developing and improving processes and systems relevant to area of discipline. Provide specialist advice to address specific technical queries from internal clients and deliver appropriate solution, in line with the organization's policies and processes and regulatory requirements. Job Qualifications Required: A bachelor's degree in a relevant field. Preferred: Extensive experience in medical claims processing and analysis Familiarity with insurance policies and industry regulations Strong analytical skills to review and assess complex medical claims for accuracy, compliance, and eligibility.

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