Assistant Manager, Claims (Motor - Own Damage)

Tokio Marine Insurans (Malaysia) Berhad; Kuala Lumpur; On-site; MYR 20,000 - 100,000; Full time

Job summary

A leading insurance company in Kuala Lumpur is seeking an Assistant Manager for Claims handling. The successful candidate will diligently process claims, approve settlement recommendations, and ensure compliance with relevant regulations. Key responsibilities include managing outstanding claims, authorizing payments, and identifying potential fraud. Candidates with a background in claims management are encouraged to apply.

Qualifications

• Experience in handling and processing claims according to policy.

Responsibilities

• Handle and settle claims diligently per policy contract.
• Approve claims within department benchmark.
• Assist in monitoring general enquiries and complaints.
• Review outstanding claim files yearly.
• Authorize payments and handle incoming enquiries.
• Ensure compliance with legal and professional standards.
• Identify potential fraud and make referrals.

Job description

Assistant Manager, Claims (Motor - Own Damage)

• Handle, process and recommend settlement of claims diligently inaccordance with policy contract, company policy and procedures.
• Approving claims for the peers with lowerauthority within the department benchmark/turnaround time.
• To assist Unit Head to monitor generalenquiries and ensure complaints are attended within the benchmark set by thedepartment.
• To ensure outstanding claim files arereviewed yearly and ensure claim reserves are adequate with status updated.
• To assist Unit Head with report generationfrom Merimen system e.g. OD daily productivity, etc.
• To authorize payments.
• To handle incoming enquiries from internalor external parties via emails, phone calls and letters.
• To authorize, deny and determine extent ofinsurer’s liability on case of discharge that surpasses the authority of anExecutive.
• To ensure claims recommendations anddecisions are complied with legal requirements, industry regulations, companypolicies and professional codes.
• Keep ratio of outstanding claims at healthylevel.
• Highlight to supervisors and/or HODs of anydeficiency in policy coverage and adverse claims trends to facilitatecorrective and appropriate action.
• Identifying potential fraud and makeappropriate referrals.
• To assist Unit Head with any projectsentrusted to the Unit and to lead team members in certain projects.
• To accept any roles that the management mayassigned from time to time.