Medical Claims Team Lead - Medical Assistance & Travel Insurance

Allianz
Kuala Lumpur
Workplace: HybridFull timeFunction: Insurance & ActuarialExperience: 3+ yearsEducation: bachelorsSkills: ["Clinical judgment","Decision-making","Communication","Coaching","Teamwork"]

Lead a medical claims team for emergency assistance and travel insurance cases across Malaysia and Singapore. You’ll evaluate clinical situations, identify pre-existing conditions, manage escalations and approvals within claims authority, and coordinate cross-border provider interactions. Own SLA performance and claims quality using operational and functional review processes, coach 1–2 direct reports, and contribute to operations strategy while representing Allianz Partners in partner meetings.

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FursaFursa
Allianz
Allianz
23 hours ago

Medical Claims Team Lead - Medical Assistance & Travel Insurance

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Source: Company careers pageValidated by: Fursa AI
Last checked: 9 hours agoStatus: Live

Job Summary

Lead a medical claims team for emergency assistance and travel insurance cases across Malaysia and Singapore. You’ll evaluate clinical situations, identify pre-existing conditions, manage escalations and approvals within claims authority, and coordinate cross-border provider interactions. Own SLA performance and claims quality using operational and functional review processes, coach 1–2 direct reports, and contribute to operations strategy while representing Allianz Partners in partner meetings.
Location: Kuala Lumpur
Workplace: Hybrid
Employment Type: Full time · Permanent
Job Function: Insurance & Actuarial
Seniority: Manager level

Key Responsibilities

  • •Evaluate emergency medical assistance cases and travel insurance claims using clinical judgment for Malaysia and Singapore.
  • •Identify pre-existing conditions and determine relevance to claim outcomes in line with policy terms and clinical evidence.
  • •Act as the primary technical referral point for complex or high-cost cases and escalate with evidence-based rationale.
  • •Manage SLA performance, claims quality, and operational strategy actions using OFR and CFR processes in collaboration with Quality Assurance.
  • •Coach and oversee 1–2 direct reports, support hiring/onboarding/training execution, and manage customer feedback, inquiries, and complaints.

Pay and Benefits

Perks:Annual Leave

Key Requirements

  • •Minimum Diploma or Degree in a medical-related field, and registered nurses (RN/BN), medical doctors, medical assistants, paramedics, and allied health professionals are welcome.
  • •At least 3 years of relevant experience in clinical practice, emergency or acute care, or a medical claims environment.
  • •Strong clinical judgment to assess emergency cases and determine how pre-existing conditions affect claim outcomes.
  • •Understanding of medical terminology, diagnoses, and treatment protocols, with evidence-based decision-making under pressure.
  • •Proven written and verbal communication skills in English; Mandarin is a plus.
Experience:3+ yearsEmergency careAcute careMedical claims
Education:Bachelor's
Skills:Clinical judgmentDecision-makingCommunicationCoachingTeamwork
Languages:EnglishMandarin
Tech Stack:Microsoft Office

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

Company Brief

Allianz
Global insurance and financial services group offering property-casualty insurance, life and health insurance, asset management, and corporate risk solutions to individuals, businesses, and institutions across more than 70 countries.
Industry: Insurance
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Munich, Germany
Founded: 1890
WebsiteLinkedIn