Lead Specialist - Claims (Fraud, Waste & Abuse)

AIA
📍 Cyberjaya, Selangor, Malaysia 💼 Full time 🕒 Posted July 05, 2026

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

Assess outpatient and inpatient hospitalization claims from Group policyholders as per stipulated benchmarks and requirements.
  • Perform end‑to‑end FWA investigationsin accordance with established investigation frameworks, governance standards and confidentiality requirements

  • Identify, analyze and assess suspicious or potentially fraudulent claimsby reviewing claims documentation and interpreting transactional, behavioral and historical claims data

  • Apply risk‑based investigation techniques to prioritize cases, balancing investigation depth, timeliness and potential financial or reputational impact

  • Conduct claimant, provider or third‑party interviews where required, ensuring adherence to investigation protocols, professionalism and no...

  • Ready to Apply?

    Submit your application today and join our talented team at AIA.

    Submit Application

    Job Details

    • Location Cyberjaya, Selangor
    • Job Type Full time
    • Category Business Operations Specialists
    • Posted Date July 05, 2026
    • Application Deadline August 14, 2026