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Employee Benefit Cashless Claim, Analyst

AIA • Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia • Posted June 23, 2026

Location Kuala Lumpur, Federal Territory of Kuala Lumpur
Job Type Full time
Category Business Operations Specialists
Posted June 23, 2026

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

Sound like you? Then read on.

About the Role

Responsible for determining the validity and authorising settlement of group health insurance claims

Roles & Responsibilities:

  • Ensure completeness of Claims / Guarantee Letter Pre-certify documents in compliance to Company’s requirements and guidelines
  • Adjudicate medical claims by following the organization guidelines & within the assigned authority limit.
  • Establish covered medical insurance losses against benefits coverage and eligibility.
  • Establish proof of loss by studying medical documentation; assembling additional information as required from other sources, such as claimant history, physician, employer, hospital details, type of medication, procedures & etc. Escalate questionable claims to the direct supervisor / medical advisory officers (if required).

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