Risk and Compliance Specialist

1 week ago

Sydney, New South Wales, Australia AIA Full time
About the Role

We are seeking a highly skilled Risk and Compliance Specialist to join our team at AIA. As a key member of our Health Insurance business unit, you will play a critical role in delivering our purpose, vision, and strategy by developing, supporting, and championing a high-performing risk culture.

Key Responsibilities
  • Investigate incidents, provide assistance and coordination, and ensure rectification and closure.
  • Support the management of risk and audit issues, ensuring quality root cause analysis and corrective action.
  • Develop strong relationships with key stakeholders across the Health Insurance business unit.
  • Identify and address 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 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.
  • Assist in preparing timely complaints reporting and trend analyses for presentation in routine business forums.
  • Ensure member complaint information is correctly captured in the Complaint's Register.
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.
  • Proven track record of identifying, managing, and mitigating risks in an operational environment.
  • Understanding of 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.
  • Ability to effectively prioritize and execute tasks in a high-pressure environment.
About AIA

AIA is a leading life insurance company that helps people live healthier, longer, better lives. We offer a range of benefits and opportunities for our employees, including access to training and development, career development through internal mobility, and a supportive and inclusive work environment.

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