Medical Advisory, Case & Fraud Management, Specialist

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

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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...