Claims Analyst

Zurich 56 Company Ltd; Kuala Lumpur; On-site; MYR 50,000 - 70,000; Full time

Job summary

A leading insurance company is seeking a Claims Analyst in Kuala Lumpur. The role involves handling personal or commercial line claims, ensuring customer-centric service while complying with legal standards. Candidates should have a diploma or degree in relevant fields and possess skills in problem-solving and communication, along with proficiency in Excel. This position offers a chance to contribute to a reputable company's success while engaging in professional growth opportunities.

Responsibilities

• Document claims file accurately and update claims data.
• Determine liability by gathering and analyzing relevant facts.
• Analyze and determine policy coverage.

Skills

Attention to detail

Problem-solving

Communication

Proficiency in Excel

Experience with claims management systems

Education

Diploma or Degree in Business, Insurance, or related fields

Job description

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Claims Analyst

Job Summary

With moderate direction, handles single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Job Accountabilities - Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information.
• Determine liability by gathering and analyzing relevant facts.
• Analyse and determine policy coverage.
• Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
• Assess damages.
• Negotiate settlement of claim by establishing an appropriate negotiation strategy.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols aligned to the organization's Claims Vendor Management strategy.
• Ensure legal compliance by following laws and regulations and internal control requirements.
• Refer claim to subrogation and fraud teams.
• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
• Protect Zurich's reputation by keeping claims information confidential.
• Understand the current with industry trends and establish personal networks and participate in professional societies.

Job Qualifications

Required:

• Diploma or Degree in Business, Insurance, or related fields

Preferred:

• Attention to detail, problem-solving, communication, and proficiency in Excel and claims management systems.

You are the heart & soul of Zurich!

At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?

We highly value the experience and know-how of our employees and offer a wide range of opportunities across business areas to encourage you to apply for new opportunities within Zurich when you are ready for your next career step.