Assistant Manager/Manager Claims Control & Specialised Claims Unit

Allianz Malaysia; Kuala Lumpur; On-site; MYR 70,000 - 110,000; Full time

Job summary

Allianz Malaysia is seeking a skilled claims professional to manage and review open files from notification through settlement, coordinating Adjusters and investigations. You will identify leakage roots, implement process improvements, and ensure policy compliance while leveraging AI tools to streamline tasks.

The role requires a strong understanding of P&C claims, 5+ years of experience, and the ability to make sound judgments in complex cases.

Qualifications

• Bachelors’ Degree or equivalent in any related field / Associated MII / CII.
• Minimum 5 years’ experience in P&C claim handling.
• Well verse with claims processes and handling.
• Good policy understanding in terms of the policy conditions, exclusions etc.
• Good judgement and able to make decision.
• Familiar with the use of AI tools such as ChatGPT for tasks simplification.

Responsibilities

• Regular review of open files to identify root causes of claims leakage and translate findings into action plans.
• Manage specialized claims from notification to settlement and oversee Adjusters investigations.
• Monitor outstanding claim files with Adjusters.
• Review work processes and improve claim guidelines and procedures.
• Assist in department administration and systems for smooth operations.
• Investigate potential fraud cases to uncover patterns and involved parties.
• Develop claim reviews plans for outstanding and closed cases.
• Handle complex and contentious claims to ensure compliance and smooth settlement.
• Analyze fraud trends to maintain up-to-date market knowledge.
• Back up team members as required.
• Perform other duties delegated by management.
• Ensure compliance with policies and regulations.

Skills

P&C claims handling

Fraud detection

Policy understanding

Decision making

AI tools familiarity

Research & analysis

Education

Bachelor's degree in related field / MII / CII

Job description

• Regular review of open files in order to identify root causes of claims leakage and the translation of those findings into action plans to reduce leakage through process improvements and/or training.
• To manage the specialized claims from point of notification up to settlement i.e.manage the progress of Adjusters investigation
• Periodic monitoring outstanding claim files with Adjusters.
• Review work processes and provide solutions in improvement of claim guidelines and work processes.
• To assist in department’s administrative works, systems and procedures for smooth operations and continuous improvement.
• Performs investigation of potential fraud cases to uncover the fraud pattern and also the parties involved.
• Developing claim reviews plans (including outstanding and closed cases).
• Review, investigate and actively involved in all complex and contentious claims referred to the team to ensure compliance with policy requirements and smooth settlement.
• Analyses and maintains an up-to-date knowledge and data of fraud trends in the market.
• Backup team members and assume the responsibilities as and when required.
• Perform other duties as delegates by the Management.
• Ensure compliance to policies, guidelines and regulations

Key Requirements

• Bachelors’ Degree or equivalent, in any related field / Associated MII / CII.
• Minimum 5 years’ experience in P&C claim handling.
• Well verse with claims processes and handling.
• Good policy understanding in terms of the policy conditions, exclusions etc.
• Good judgement and able to make decision.
• Familiar with the use of AI tools such as ChatGPT for tasks simplification

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.