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Medical Advisory, Case & Fraud Management, Specialist

AIA
📍 Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 💼 Full time 🕒 Posted July 07, 2026
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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.

WE ARE LOOKING FOR .....

Responsible for performing pre-certification; prospective, concurrent, and retrospective review of hospitalization; and to ensure cost containment measures are carried out without compromising on the care quality and service standards
  • Pre-certify cases for issuance of Additional Top Up guarantee letters/ Additional Requests in compliance to Company’s requirements and guidelines
  • Lead the team and manage rostering / OT and FTE count needed for AGL and ADR
  • Ensure guarantee letters are issued accurately and correctly within targeted TAT and with authority assigned
  • Achieve team target Savings benchmark
  • Performs other responsibilities and duties periodically assigned by supervisor to meet operational and/or other requirements
  • Monitor of length of stay, rea...

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    Job Details

    • Location Kuala Lumpur, Federal Territory of Kuala Lumpur
    • Job Type Full time
    • Category Business Operations Specialists
    • Posted Date July 07, 2026
    • Application Deadline August 16, 2026