Associate, Claims- Family, Banca & Direct Takaful (GETB)

Great Eastern; Kuala Lumpur; On-site; MYR 30,000 - 45,000; Full time

Job summary

A leading insurance provider in Kuala Lumpur is seeking a Junior Claims Assessor responsible for reviewing takaful claims, verifying coverage, and ensuring efficient processing. The ideal candidate should possess a tertiary qualification in science or mathematics, have basic knowledge of takaful policies, and strong analytical skills. The role includes collecting relevant documents, assisting in fraud detection, and maintaining accurate claim records. This position offers opportunities to grow within a respected firm known for its financial strength and stability.

Qualifications

• Tertiary qualification, preferably in science, biomedical science, or mathematics.
• Basic knowledge of takaful/insurance policies and claims handling.
• High level of integrity and accountability.

Responsibilities

• Review and assess takaful claims based on certificate terms.
• Collect and analyze documentation such as medical and police reports.
• Communicate with various stakeholders to gather information.
• Assist in detecting fraudulent claims.
• Maintain accurate claim records and update internal systems.

Skills

Strong analytical skills

Good communication

Negotiation capabilities

Ability to work under pressure

Teamwork

Education

Tertiary qualification in science or mathematics

Insurance or takaful certification

Job description

A junior claims assessor is responsible for reviewing takaful claims, verifying certificate coverage, assessing settlements, justifying repudiations and ensuring claims are processed fairly & efficiently.

Key responsibilities:

Review and assess takaful claims based on certificate terms and conditions

Collect and analyse necessary documentation such as medical reports, police reports, etc.

Communicate with claimants, certificate holders, service providers, external source (doctors/police/relevant organisations), internal company personnel and third parties’ administrators personnel to gather required information.

Assist in detecting fraudulent claims and escalating suspicious cases

Work closely with senior assessors and claims managers to finalise claim decisions

Maintain accurate claim records and update internal system as per standard operating procedures

Provide customer service and support to claimants throughout the claim process

Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.

Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.

Highlight any potential concerns /risks and proactively shares best risk management practices.

Tertiary qualification, preferably in science, biomedical science, mathematics and/or with insurance or takaful qualification/certification as added advantage

Basic knowledge of takaful/insurance policies and claims handling

Strong analytical and decision-making skills

Good communication and negotiation capabilities

Ability to work under pressure and meeting daily productivity targets

High level of integrity, takes accountability of work and good attitude over teamwork.

Takes initiative to improve current state of things and adaptable to embrace new changes.

• 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.

To All Recruitment AgenciesGreat Eastern does not accept unsolicited agency resumes. Please do not forward resumes to our email or our employees. We will not be responsible for any fees related to unsolicited resumes.

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