Claims Assistant Manager: Lead Process Improvement

Great Eastern; Kuala Lumpur; On-site; MYR 60,000 - 100,000; Full time

Job summary

Great Eastern in Malaysia seeks a Claims Assistant Manager to support the Claims Manager in processing claims, ensuring compliance with policies and improving efficiency in decisions and settlements.

The role involves reviewing and approving claims within delegated authority, investigating disputes, analyzing trends, and guiding junior staff, collaborating with underwriters and legal teams.

Qualifications

• Over 5 years in claims handling with supervisory experience.
• Knowledge of takaful/insurance claims regulations.
• Able to work under pressure and meet targets.

Responsibilities

• Assess, review and approve claims within delegated authority.
• Assist in investigating and resolving claims disputes and complaints.
• Analyze claim trends and suggest improvements to claim processes.
• Ensure compliance with company policies, regulations and industry standards.
• Provide guidance and technical support to junior claims assessor on complex cases.
• Support training and development programs for claims staff.
• Collaborate with underwriters, customer service personnel, legal teams and external investigators to facilitate effective claims management.
• Prepare and review claims reports, including claims notifications, settlements, outstanding cases, fraud investigations, and performance metrics.
• Review and construct recommendation for case escalation to management as and when necessary, accordance with guidelines.
• Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
• Maintains awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
• Highlights any potential concerns /risks and proactively shares best risk management practices.

Skills

Leadership

Team management

Analytical skills

Communication

Negotiation

Problem-solving

Education

Science or Mathematics degree

Insurance/Takaful qualification

Job description

Great Eastern in Malaysia seeks a Claims Assistant Manager to support the Claims Manager in processing claims, ensuring compliance with policies and improving efficiency in decisions and settlements.

The role involves reviewing and approving claims within delegated authority, investigating disputes, analyzing trends, and guiding junior staff, collaborating with underwriters and legal teams.