Medical Claims Analyst (1 Year Contract)

About the role

Zurich Insurance Company is hiring a Medical Claims Analyst for a 1-year contract in Kuala Lumpur. The role uses established financial systems and rolls out enhanced analytics capabilities to track budgets and highlight variances, supporting financial effectiveness and operational efficiency. It also covers business accountabilities such as research and analysis of claims handling protocols.

Key responsibilities

• Ensure monthly reporting of Business Units to the data warehouse and continuously improve data quality, granularity and claims history for effective performance management.
• Roll out enhanced reporting and analytics to Business Units, including embedding their use of claims analytics applications.
• Identify deep-dive areas with local Business Units, provide an independent view of issues and drive resolution, follow-up and learning.
• Work with General Insurance functions at global, regional and local levels to give structured claims insight and foster informed decision-making.
• Drive capability building and up-skilling, for example through eLearning such as "General Insurance Claims - Managing by Numbers".
• Enhance claims data and analytics with local claims controlling teams, including sourcing more granularity and up to 10 years of claims history.
• Contribute to requirements specifications for other claims data analytics systems and to the Virtuous Circle discussion.
• Collaborate with Underwriting/Pricing, Reserving, Operations and Finance, and provide ad hoc claims analysis with sophisticated tools.
• Plan and review branch claims processes, conduct data mining to find root causes, and give procedural advice so internal standards are followed.
• Track budgets and variances using financial systems, and act as a subject matter expert on operational and financial claims performance.
• Research primary data sources, analyse claims handling protocols and customer propositions, and advise on technical queries in line with policies, processes and regulatory requirements.

Required profile

• Bachelor's degree in a relevant field.
• Preferred: extensive experience in medical claims processing and analysis.
• Preferred: familiarity with insurance policies and industry regulations.

Required skills

• Strong analytical skills to review and assess complex medical claims for accuracy, compliance and eligibility.
• Ability to work with data warehouses, analytics applications and data mining techniques.