Medical Claims Examiner

1 month ago


Hong Kong, Central and Western District, Hong Kong SAR China AIA Full time

About AIA

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AIA is a leading insurance company that strives to provide comprehensive and innovative solutions for individuals and businesses.

Career Opportunity

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We are currently seeking a skilled Medical Claims Analyst to join our team. As a Medical Claims Analyst, you will be responsible for assessing and processing medical claims according to delegated claims authority in accordance with established procedures and guidelines.

Key Responsibilities

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  • Assess and process claims according to delegated claims authority in accordance with established procedures and guidelines;">
  • Support the implementation of claims management strategies and objectives;">
  • Reach benchmark of claims processing volume and turnaround time;">
  • Assist in handling inquiries or complaints from internal and external customers;">
  • Identify and conduct thorough investigations of suspicious cases, including reporting to superiors;">
  • Handle ad-hoc duties as assigned by supervisors.">
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Requirements

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To be successful in this role, you will need:

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  • At least 5 years of relevant experience in the insurance industry, preferably in medical claims;">
  • Professional qualifications such as FLMI or FLHC will be an advantage;">
  • Familiarity with operation of medical claims and healthcare network providers;">
  • Good communication and interpersonal skills;">
  • Detail-minded with strong sense of responsibilities and well-organized;">
  • Flexible and customer-oriented;">
  • Able to handle multi-task and work under pressure in a fast-paced environment;">
  • Good command of both written and spoken English and Chinese;">
  • Proficient in MS Office and Chinese Word Processing;">

Salary and Benefits

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The salary range for this position is $60,000 - $80,000 per annum, depending on experience and qualifications. We also offer a comprehensive benefits package, including medical and dental insurance, retirement plan, and paid time off.

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Why Join AIA?

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AIA offers a dynamic and challenging work environment that encourages professional growth and development. We are committed to hiring the best talent and providing opportunities for career advancement.

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Location

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This role is based in [location], which offers a great quality of life and access to various amenities and services.



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