Claims Examiner

Zurich Insurance Group; Kuala Lumpur; On-site; MYR 40,000 - 70,000; Full time

Job summary

Zurich Insurance Group Malaysia is seeking a Claims Handler with moderate direction to manage single and multi-party personal or commercial line claims of low to moderate exposure within authority limits, delivering a customer-centric claims service.

Responsibilities include documenting claims, determining liability, analysing coverage, developing case strategy, establishing reserves, negotiating settlements, and ensuring timely communication and regulatory compliance.

Qualifications

• Diploma/Degree in Business, Insurance, or related field.
• Strong communication and negotiation skills.
• Detail-oriented, well-organized, and capable of handling high volumes of cases.
• Able to work independently and under pressure in a fast-paced environment.

Responsibilities

• Document claims file by accurately capturing and updating claims data/information.
• Determine liability by gathering and analyzing relevant facts and analyze policy coverage.
• Work to have a timely resolution to claims by developing case strategy and evaluation.
• Establish timely reserves and perform ongoing review within authority limits.
• Assess damages and negotiate settlement by establishing an appropriate negotiation strategy.
• Meet quality standards by following best practices and ensure customer service.
• Align to Claims Vendor Management strategy and ensure legal compliance by following laws.
• Refer claim to subrogation and fraud teams and provide risk insights when needed.

Skills

Strong communication

Negotiation skills

Detail-oriented

Well-organized

Ability to work under pressure

Education

Diploma or Degree in Business/Insurance

Job description

Jora Malaysia will close on 16th September 2026. Thank you for being with us, we are cheering you on as you continue your career journey.

Purpose

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.

Key Accountabilities

Document claims file by accurately capturing and updating claims data/information.

To 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.

Performance Management Accountabilities

Demonstrate commitment to corporate values.

Take accountability for participating in the performance management cycle.

Take action to improve performance on the job.

Assist and support co-workers. Take action to manage own personal development.

Requirements :-

Diploma/Degree in Business, Insurance, or related field.

Strong communication and negotiation skills.

Detail-oriented, well-organized, and capable of handling high volumes of cases.

Able to work independently and under pressure in a fast-paced environment.