Assistant Manager, Life Claims Assessor

Great Eastern; Kuala Lumpur; On-site; MYR 80,000 - 100,000; Full time

Job summary

A leading insurance firm is seeking an experienced Claims Adjudicator to process and manage claims. The role involves assessing claims, handling inquiries, and ensuring compliance with policy terms. Candidates should possess a degree or professional qualification in insurance and have at least 6 years of experience in the life insurance sector. Key skills include effective communication, analytical abilities, and complaint handling. This role offers a chance to work in a trusted and established organization with a commitment to service excellence.

Qualifications

• 6 years’ experience in a life insurance company or large organization.
• Ability to deal with various policy terms and conditions.
• Familiarity with the Life insurance industry practices.

Responsibilities

• Adjudicate claims according to policy terms.
• Process claims and handle enquiries from agents and claimants.
• Assist manager in monitoring team productivity.

Skills

Ability to analyse details clearly

Good convincing skill

Good written and oral communication

Complaint handling & customer service

Computer literate

Good and clear explanation skills

Telephone handling & manners

Education

University Degree in any discipline or Professional qualification in insurance, ICA, ACS

Job description

• Adjudicate claims according to the terms and conditions of the policy
• Assess claims in accordance with the policy terms and conditions and ISO requirements.
• Process claims; i.e. approve, reject or withdraw claims within a set time frame and authority limit
• Handle enquiries and complaints from agents and claimants.
• Coordinate with branches or other stakeholders to ensure smooth claims handling.
• Assist manager to monitor TAT and Productivity of the team.
• University Degree in any discipline; or, Professional qualification in insurance, ICA, ACS
• 6 years’ experience in life insurance company or large organisation.
• Key Skills:
  • Ability to analyse details clearly
  • Good convincing skill
  • Good written and oral communication
  • Complaint handling & customer service
  • Computer literate
  • Good and clear explanation skills
  • Telephone handlings & manners
• Key Knowledge:
  • Policy terms and conditions
  • Product knowledge and features
  • Medical knowledge & human anatomy
  • Insurance Act and Laws
  • Life insurance industry practices
  • OFS's procedures and policies
  • ISO requirements & basic quality auditing
  • Risk and Compliance requirements
• Problem solving and decision making
• Good verbal and written communication
• Sense of urgency
• Customer service provider, pleasantness & empathy
• Analytical
• Details oriented
• Organised and Planning
• Professional & personal maturity in outlook
• Champion and embody our Core Values in everyday tasks and interactions.
• Demonstrate high level of integrity and accountability.
• Take initiative to drive improvements and embrace change.
• Take accountability of business and regulatory compliance risks, implementing measures to mitigate them effectively.
• Keep abreast with industry trends, regulatory compliance, and emerging threats and technologies to understand and highlight potential concerns/ risks to safeguard our company proactively.

Founded in 1908, Great Eastern is a well-established market leader and trusted brand in Singapore and Malaysia. With over S$100 billion in assets and more than 16 million policyholders, including 12.5 million from government schemes, it provides insurance solutions to customers through three successful distribution channels – a tied agency force, bancassurance, and financial advisory firm Great Eastern Financial Advisers. The Group also operates in Indonesia and Brunei. The Great Eastern Life Assurance Company Limited and Great Eastern General Insurance Limited have been assigned the financial strength and counterparty credit ratings of "AA-" by S&P Global Ratings since 2010, one of the highest among Asian life insurance companies. Great Eastern's asset management subsidiary, Lion Global Investors Limited, is one of the leading asset management companies in Southeast Asia. Great Eastern is a subsidiary of OCBC, the longest established Singapore bank, formed in 1932. It is the second largest financial services group in Southeast Asia by assets and one of the world’s most highly-rated banks, with an Aa1 rating from Moody’s and AA- by both Fitch and S&P. Recognised for its financial strength and stability, OCBC is consistently ranked among the World’s Top 50 Safest Banks by Global Finance and has been named Best Managed Bank in Singapore by The Asian Banker.