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

As a Claim Assessor, you will play a crucial role in evaluating life and medical claims within the define service turnaround time. Your objective is to ensure accuracy, compliance, and efficiency in claim assessment while upholding company policies and regulatory requirements. You will collaborate with internal teams, policyholders, beneficiaries, and external stakeholders to facilitate smooth claim processing and resolution.

Claims Evaluation and Processing

• Review and assess life and medical claims promptly while maintaining service turnaround commitments.

• Ensure all claim evaluations adhere to internal policies, regulatory guidelines, and industry best practices.
• Verify the completeness and accuracy of claim forms and required supporting documents, guiding claimants and the sales team where necessary.

Claim Investigation and Compliance

• Conduct thorough investigation for suspicious claims, particularly those related to medical reimbursement, death, and total permanent disability (TPD).
• Collaborate with police, local authorities, clinics, and hospitals to gather necessary claim related documents.

• Interview claimant/beneficiary, relevant parties, and witnesses to obtain detailed information for claim assessments.

• Handle sensitive claims with empathy and professionalism, ensuring fair and transparent decision-making.

Stakeholder Engagement and Communication

• Engage with policyholders, claimant/beneficiary, community leader, and local authorities, especially in cases requiring claim rejection explanations.

• Cleary communicate claim decisions and justifications to claimant/beneficiary and the sales team, fostering trust and understanding.

• Provide expert guidance on claim requirements and processes to support seamless claim submission and resolution.

Reporting and Documentation

• Prepare comprehensive claim summaries for review and approval by Claims Manager and/or Claims Committee.

• Ensure timely process claim payment within the define service turnaround time.

• Maintain accurate records of all claim documents and ensure proper data entry in systems for efficient tracking and auditing.

• Provide claim reports to relevant departments as per request

Additional Responsibilities

• Stay updated on industry regulations, fraud detection practices, and claims assessment methodologies.

• Assist with any other tasks assigned by the Claims Manager to support department objectives.

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.