Assistant Manager, Group B40 Claims (GETB)

Great Eastern Life; Kuala Lumpur; On-site; MYR 60,000 - 84,000; Full time

Job summary

A leading insurance company in Malaysia is seeking an Assistant Manager for their Group B40 Claims department. In this role, you will lead claims processes, ensuring adherence to policies while supporting the team's development and managing communications with various stakeholders. The position requires a tertiary qualification in a relevant field and several years of experience in claims management, emphasizing leadership and analytical skills.

Qualifications

• 3+ years in Medical, Takaful, or Life Insurance claims.
• Insurance or Takaful qualification advantageous.
• Ability to work independently and see the overall picture.

Responsibilities

• Lead the Critical Illness claims section ensuring SLA compliance.
• Monitor claims processing by the team and TPA.
• Prepare management and performance reports.

Skills

Leadership

Analytical

Communication

Team player

Education

Tertiary qualification in science, biomedical science, or medical

Job description

Job Description - Assistant Manager, Group B40 Claims (GETB) (240001TR)

Job Number:

240001TR

Job Purpose

Responsible for leading the Critical Illness claims section. This role ensures that the SLA of claims processing is met and properly executed according to the SOP & guidelines. You are also responsible for assisting the supervisor in claims management, including TPA monitoring.

The Job

• Monitor and ensure claims are assessed and processed fairly and promptly by the claims team and TPA, meeting SLA (including TAT, productivity, quality, aging, etc.)
• Ensure all claims processes comply with policy annexure, regulation, and SOP guidelines (including Bank Negara Malaysia, Malaysian Takaful Association, Ombudsman for Financial Services, etc.)
• Support and respond to internal and external stakeholders in a timely manner (including internal teams, hospitals, members, third-party administrators, auditors, etc.)
• Carry out all management support tasks assigned, set by the team, accurately and within deadlines
• Prepare reports such as management reports, periodic team performance, and productivity reports
• Guide subordinates towards personal development
• Enhance the competency of subordinates in meeting SLA requirements
• Prepare and update claims guidelines
• Act as liaison with TPA team for continuous improvement
• Participate in product briefings or discussions
• Participate in projects, initiatives, assignments, and ad-hoc tasks assigned by superiors.

Our Requirements

• Tertiary qualification preferably in science, biomedical science, or medical, with insurance or takaful qualification as an added advantage
• At least 3 years of experience in Medical, Takaful, or Life Insurance claims department
• Possess leadership qualities, results-driven, and a positive working attitude
• Analytical with the ability to see the overall picture and work independently
• Sense of urgency and business acumen
• Team player
• Good communication skills, both verbal and non-verbal