Job Description

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 operational excellence and customer satisfaction by empowering assessors through continuous training, reducing operational costs, ensuring consistent in validity and authorizing settlement of medical health. Responsible for handling complex policy cases which require special investigative skills or significant involvement and collaboration from different stakeholders to follow through together with MOH directives while fostering a culture of compliance, efficiency, and integrity.

Roles & Responsiblities:

  • To conduct Amount Under clarification (AUC) and case management, regular audits, and handle critical issues to identify Fraud, Waste and Abuse
  • To ensure claim ad judication is in accordance with reasonable and customary charges and to review trending ...

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