Assistant Manager, Investigation (Healthcare Services)

Job title: Assistant Manager, Investigation (Healthcare Services)

Company:


Job description: Discover the GREAT in your career. As a LIFE company, our customers are at the heart of all that we do. Being one of Asia’s leading insurer for over a century, we have built a long-lasting legacy of trust with our customers over many generations. At the foundation of this trust is Integrity, Initiative, and Involvement – from the way we treat every customer relationship with honesty and transparency, to our proactive approach of delivering the best possible solutions in both life and general insurance. Integrity, Initiative, and Involvement is what guides us. It is what makes us do the right thing, take the lead, and choose ‘we’ over ‘me’. Our mission is to make life great for our customers because we understand what matters most to them, and we know how to help them protect it. If you are looking to grow in an exciting career filled with opportunities and potential, we are seeking a professional to join our team as an Assistant Manager for the Investigation team. Job Purpose To obtain medical evidence/report/history from clinic/hospital/doctor/relevant institutions to substantiate claims decision for health claims cases sent for investigation. The Role: Conduct objective, fair, detailed and timely investigation on dubious health claims cases in supporting claims assessment. Perform interpersonal and communication skills with various stakeholders while conducting investigation works. Collect, secure and manage evidential material and confidential information gathered during investigations activities. Undertake analysis, identify issues from health claim cases and provide strategies to obtain relevant information to rectify the issues. Work collaboratively with other departments and where appropriate refer matters to them under the relevant findings from the course of investigation. As part of the leadership team, work with key stakeholders to proactively shape the organisation’s culture and conduct environment that is aligned to the organization’s Core Values. Champion culture and conduct behavioral expectations within the Department/Division. Takes accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks. Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company. Highlight any potential concerns /risks and proactively shares best risk management practices. Other responsibilities entailed. The Person: Possess at least a Bachelor’s degree or professional qualification in Finance/ Accounting/ Business Administration/ Pharmacy or other related fields At least 5 years working experience; proven understanding in Investigations, Medical/ Pharmacy/ Laboratory knowledge. Strong analytical skills with an enquiring mind to efficiently carry out effective investigations . Good management, organizational, leadership and communication skills. Demonstrates alignment with the organisation’s core values through expected behaviours. High level of integrity, takes accountability of work and good attitude over teamwork. Takes initiative to improve current state of things and adaptable to embrace new changes. Great Eastern Malaysia is committed to Equal Employment Opportunity, and all qualified applicants shall receive a fair and equal consideration for employment. Location: HQ, Kuala Lumpur Entity: Great Eastern Life Malaysia Employment Type: Permanent About Great Eastern Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei. The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of ‘AA-‘ by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern’s asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia. Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world’s most highly-rated banks, with an Aa1 rating from Moody’s and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World’s Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker. To all recruitment agencies: Great Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.

Expected salary:

Location: Kuala Lumpur

Job date: Wed, 02 Apr 2025 22:42:48 GMT

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