Associate, GL Issuance Management

Associate, GL Issuance Management

AIA Group
2-5 years
Not Specified

Job Description

Bring your career aspirations to life with AIA!Responsible for performing pre-certification prospective, concurrent and retrospective review of hospitalization and to ensure that cost containment measures are carried out without compromising on the care quality and service standards.
Roles and Responsibilities:
  • To support and lead a team of assessors in pre-certification, hospitalization, case management in the issuance of guarantee letter in compliance to Company's requirements and guidelines.
  • To ensure quality audits are done for the respective team members.
  • To pre-certify cases for issuance of guarantee letter in compliance to Company's requirements and guidelines assist the team target productivity benchmark.
  • To ensure guarantee letters are issued accurately and correctly within targeted TAT and with authority assigned.
  • To assist in the assignment and monitoring of all documents received in their respective team's queues.
  • To assist WFM team in ensuring sufficient headcount as scheduled on the shift rotation on a monthly basis to cater for the GL process.
  • To ensure huddles and communications are carried out as per the agreed frequency.
  • To ensure coaching and engagement activities are carried out for performance improvement and cost containment.
  • To ensure that cases of fee disputes are handled and resolved within targeted TAT.
  • To ensure that error rate in GL issuance is less that the target.
  • To perform other responsibilities and duties periodically assigned by supervisor in order to meet operational and/or other requirements .

Education: Bachelor's Degree in Medicine or medical fields
Years of Experience: Minimum 2 years of experience
Technical Skills: Claims assessment, Medical report knowledge, Health Insurance Policy knowledge
Industry: Health Insurance, Third-Party Administrator, Hospitals, Clinics, Medical Labs
Language: English and Bahasa Malaysia
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.

Job Details

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About AIA Group

The roots of today's AIA Group can be traced to 1919 when entrepreneur Cornelius Vander Starr established his first insurance business in Shanghai, China. What followed was pioneering growth, securing AIA's position as the largest independent publicly listed pan-Asian life insurance group-spanning 18 markets and serving the holders of more than 38 million individual policies and more than 16 million group scheme members. AIA is based in Hong Kong and is listed on The Stock Exchange of Hong Kong under the stock code '1299' (ticker symbol: 'AAGIY'). AIA's contributions have supported social and economic progress across Asia, while also advancing the reach and impact of life insurance across the region. In 2020, we paid more than US$16 billion in benefits and claims, providing essential financial protection when it was needed the most. We also take pride in the long-term relationships we have developed with our customers and agents that in many cases have continued for generations. The insurance industry plays an important role in addressing the sustainability challenges our communities face. With this in mind, AIA's ambition is to be a global industry leader in Environmental, Social, Governance (ESG), shaping a sustainable future for the communities we serve and creating long-term value for our stakeholders. For more than a century, AIA has strived to make a significant, positive impact for our customers and communities across Asia. As we look to the future, this commitment is reinforced by our Purpose: to help millions of people live Healthier, Longer, Better Lives. Our Purpose guides the decisions we make and the actions we take as an organisation-empowering and enabling people to understand and manage their health, while meeting their long-term savings and protection needs. Helping create a healthier Asia is one of the most important and valuable things we can do for our communities, today and tomorrow.

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