Assistant Manager, Claims (Motor - Own Damage)

Tokio Marine Insurance Group; Kuala Lumpur; On-site; MYR 20,000 - 100,000; Full time

Job summary

A leading insurance provider in Kuala Lumpur is seeking an experienced Assistant Manager, Claims to diligently manage and process claims in accordance with company policies. The role involves approving claims for peers, monitoring enquiries and complaints, and ensuring that claims recommendations comply with legal and regulatory requirements. Ideal candidates should possess solid claims processing experience and strong analytical skills for fraud identification, contributing to a healthy ratio of outstanding claims.

Qualifications

• Experience in handling and processing of insurance claims.
• Ability to authorize and deny claims based on given authority.
• Strong analytical skills to identify potential fraud.

Responsibilities

• Handle claims diligently according to policies and procedures.
• Approve claims for peers with lower authority.
• Monitor general enquiries and complaints.
• Ensure claim files are regularly reviewed and reserves are adequate.
• Assist Unit Head with report generation and other projects.

Skills

Claims processing

Decision-making

Fraud identification

Communication

Education

Relevant diploma or degree in insurance or similar field

Job description

Assistant Manager, Claims (Motor - Own Damage)

• Handle, process and recommend settlement of claims diligently in accordance with policy contract, company policy and procedures.
• Approving claims for the peers with lower authority within the department benchmark/turnaround time.
• To assist Unit Head to monitor general enquiries and ensure complaints are attended within the benchmark set by the department.
• To ensure outstanding claim files are reviewed yearly and ensure claim reserves are adequate with status updated.
• To assist Unit Head with report generation from Merimen system e.g. OD daily productivity, etc.
• To authorize payments.
• To handle incoming enquiries from internal or external parties via emails, phone calls and letters.
• To authorize, deny and determine extent of insurer’s liability on case of discharge that surpasses the authority of an Executive.
• To ensure claims recommendations and decisions are complied with legal requirements, industry regulations, company policies and professional codes.
• Keep ratio of outstanding claims at healthy level.
• Highlight to supervisors and/or HODs of any deficiency in policy coverage and adverse claims trends to facilitate corrective and appropriate action.
• Identifying potential fraud and make appropriate referrals.
• To assist Unit Head with any projects entrusted to the Unit and to lead team members in certain projects.
• To accept any roles that the management may assign from time to time.