Assistant Manager/Senior Executive, Claims

Hong Leong Assurance; Selangor; On-site; MYR 60,000 - 100,000; Full time

Job summary

Hong Leong Assurance in Malaysia is seeking an experienced claims assessor to review life insurance claims within authority limits and turnaround times. You will handle enquiries from internal and external parties and ensure timely resolution of cases.

Requirements include a Bachelor's Degree in Medical Science, Nursing or Biology, at least 3 years in claim assessment in life insurance; at least 5 years for Assistant Manager level with supervisory experience.

Qualifications

• Bachelor's degree in Medical Science, Nursing or Biology.
• Minimum 3 years of claim assessment experience in life insurance.
• Assistant Manager level requires at least 5 years with supervisory experience.

Responsibilities

• Process and review claim cases within specified authority limit and TAT.
• Attend to claim enquiries, appeals and complaints from internal and external parties.
• Ensure issues highlighted are resolved effectively and promptly through the established departmental processes and procedures.
• Perform investigation on potential fraudulent claims or suspicious cases
• Monitorand ensure that productivity and Service Level Agreement are met within the team.
• Assist in preparing monthly reports and maintain documentation of processes.
• Participate in process improvement project initiatives to improve efficiency and productivity of the department.
• Backup team members and assume the responsibilities as and when required.
• Ensure compliance to policies, guidelines and regulations.
• Perform other duties as delegated by the Management.

Skills

Claim assessment

Customer service

Interpersonal skills

Supervisory experience

Education

Bachelor's degree in Medical Science, Nursing or Biology

Job description

Jora Malaysia will close on 9th September 2026. Thank you for being with us, we are cheering you on as you continue your career journey.

Process and review claim cases within specified authority limit and TAT.

Attend to claim enquiries, appeals and complaints from internal and external parties (e.g. OFS, BNM or Third Party Administrator) and constantly follow up for pending cases.

Ensure that issues highlighted are resolved effectively and promptly through the established departmental processes and procedures.

Perform investigation on potential fraudulent claims or suspicious cases

Monitorand ensure that productivity and Service Level Agreement are met within the team.

Assist in preparing monthly reports and maintain documentation of processes.

Participate in process improvement project initiatives to improve efficiency and productivity of the department.

Backup team members and assume the responsibilities as and when required.

Ensure compliance to policies, guidelines and regulations.

Perform other duties as delegated by the Management.

Requirements:

• Candidate must possess at least a Bachelor's Degree in Medical Science, Nursing, Biology or equivalent
• Minimum 3 years of claim assessment skills in life insurance industry; Assistant Manager level at least 5 years experience with at least 2 yearsof supervisory experience
• Good knowledge of general medical knowledge, understanding and application of Insurance Guidelines and Insurance Act.
• Demonstrate good interpersonal skills, customer service skills, and ability to work under pressure.