At AIA, our promise is to help people live Healthier, Longer, Better Lives by encouraging them to make positive lifestyle changes one step at a time. Our firm belief is that by following our Operating Philosophy of doing the right thing, in the right way with the right people, the results will come. AIA Insurance for Life, Health and Wellbeing.

The Opportunity:

We are seeking a Medical Claims Specialist to join our Claims team at AIA.  We have two permanent opportunities and one 12month fixed term opportunity available.

As a Medical Claims Specialist, you will report to the Medical Claims Manager and will manage all claims in a timely, positive, innovative and empathetic manner. You will be responsible for the assessment of medical claims by liaising with clients, health professionals and advisers as well as processing claim payments ensuring a high level of accuracy.

You will be someone who has the ability to manage a fast-paced day, multi-task and have a positive attitude while maintaining a high level of accuracy and customer service.

About the Role:

• To assess each claim under the benefits of their policy, ensuring claim is applicable and within the parameters of their policy wording and benefits.
• Customer queries are responded to promptly and telephone manner is of a high standard. To ensure communication with brokers occurs especially when claims declined to ensure their support.
• To remain customer focused and maintain a caring approach with claimants.
• Ensure non disclosure / complaints are presented to the claims committee. Cases must be fully prepared, complete and have a recommendation. Presentation must conform to agreed guideline.
• Assist with provider liaison (hospitals, specialists, etc) with regards to claims, ensuring that only genuine claims are paid in accordance with AIA procedures and guidelines.
• Support the Medical Claims Manager with new initiatives and process improvements.
• Assist in additional projects identified by the Medical Claims Manager.
• Actively and positively contribute to claims team cohesion and the development of a positive team culture and climate.

About you:

• Knowledge of health or medical claims procedures and processes (advantage).
• General insurance knowledge or experience.
• Strong computer skills.
• Medical training and qualification, such as a nursing degree (advantage).
• Familiarity with the NZ health system, ACC and the insurance industry (advantage).
• Strong analytical skills, the ability to extract data and provide recommendations to support business process changes.
• Excellent relationship building skills.
• Strong planning and organisational skills with the ability to meet deadlines.
• Shows initiative and is a self-starter.

Why choose AIA:

At AIA, we’ve made a promise to help people live healthier, longer, better lives. And it starts with our own people.

• We invest in training and development to build on your current skills

• Career development through internal mobility opportunities
• Work for a business helping make positive health and wellbeing changes to the lives of New Zealanders
• Access additional leave days to recharge and refresh yourself
• Enjoy wonderful Health and Wellbeing initiatives that support you
• Work with supportive and inclusive managers
• Flexible working arrangements

What’s next?

• If you’re passionate about making a difference – then click the ‘Apply Now’ Button!

Recruitment Agencies: Our Talent team does not require any recruitment agency support.

Interested Candidates: Apply using the ‘Apply’ button. No emailed applications accepted. For general enquiries only, contact:

You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date.