Health Insurance Risk Specialist

3 days ago


Melbourne, Victoria, Australia AIA Full time

AIA seeks an experienced Health Insurance Risk Specialist to join our team. The ideal candidate will have a proven track record of identifying, managing and mitigating risks in an operational environment.

About the Role

This is a fixed-term contract ending July 2025. As a Health Insurance Risk Specialist, you will be responsible for delivering on AIA's purpose, vision and strategy by developing, supporting and championing a high performing risk culture.

Key Responsibilities
  • Identify and investigate incidents, providing assistance and coordination through to the rectification and closure.
  • Support the management of risk and audit issues identified, ensuring all quality root cause analysis is conducted and corrective action is taken to improve the customer experience.
  • Develop strong relationships with key stakeholders across the Health Insurance business unit.
  • Identify and addresses gaps in business knowledge of risk and compliance frameworks.
  • Support the Health Insurance risk function to ensure customer obligations are met through effective processes, procedures, controls, and reporting.
  • Support appropriate frameworks and controls, to ensure the Health Insurance business unit operates within the enterprise risk appetite and complies with required standards and regulations.
  • Support in the delivery of Risk and Compliance plans for the Health Insurance business unit.
  • Investigate and resolve escalated internal and external complaints in a fair, reasonable, empathetic and member focused manner.
Requirements
  • Experience in a risk and compliance role, preferably within Health insurance.
  • Experience in driving a customer and risk focused culture and delivering shared value outcomes for customers, partners and the enterprise.
  • Proven track record of identifying, managing and mitigating risks in an operational environment, achieving business delivery outcomes and exceptional customer service.
  • Understanding of the key moments of truth within operations across claims, underwriting, administration and contact center.
  • Robust knowledge of risk and compliance frameworks, methodologies and approaches.
  • Effective consulting and stakeholder management skills.
  • Sound influencing skills required to engage with stakeholders at various levels of the organization.
About AIA

AIA has made a promise to help people live healthier, longer, better lives. And it starts with our own people. We offer career development through internal mobility opportunities, flexible working arrangements, and access to additional leave days a year to recharge and refresh yourself.



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