Claims Examiner

Chubb; Kuala Lumpur; On-site; MYR 45,000 - 75,000; Full time

Job summary

Chubb Malaysia seeks a Claims professional to deliver high-quality claims work across Asia Pacific, handling fast-track and simple claims with prompt investigation, reserving, and adjustment.

You will process FNOL, verify policies, set reserves, triage to the right team, and respond to customers and brokers while upholding fraud controls and compliance; 2–3 years of relevant experience and a tertiary qualification preferred.

Qualifications

• Strong communication skills (written and verbal) and ability to engage with customers and brokers.
• Ability to organize work effectively in a team and adapt to changing business needs.
• High attention to detail to maintain quality in claims administration.
• Solid knowledge of claims administration procedures and related systems.
• Demonstrated customer service orientation.

Responsibilities

• Process claims documents and index to files in the system.
• Create and register new claim files (FNOL) and verify policies.
• Maintain loss reserves with timely updates in systems.
• Triage and assign claims to appropriate queues and teams.
• Handle claims end-to-end, including settlements and responding to queries.
• Prepare and send correspondence to brokers and claimants.
• Engage with customers and brokers to address enquiries and feedback.
• Handle inbound/outbound queries from customers/brokers.
• Apply claims policies including fraud, salvage, recovery, cost containment and complaints.
• Participate in team activities and trainings.
• Report suspected fraud, compliance and privacy breaches to management.
• Suggest two process improvement ideas annually.
• Experience in claims analysis and strong attention to detail.

Skills

Communication

Organizational skills

Quality focus

Claims procedures knowledge

Customer service

Education

Tertiary qualification (Diploma/Degree)

Job description

The primary purpose of this role is to produce a high quality Claims work through prompt and professional contact with customers and brokers. Manage and assess high frequency, simple/ low value claims through effective investigation, reserving and adjustment of claims incurred by insureds across Asia Pacific countries supported.

Key Responsibilities

1. Process claims document and index to appropriate claims files in the system.

2. Responsible for FNOL (First Notice of Loss)/ new claim files creation and registration in the system including policy verification/ upload of policy documents and determination of appropriate coverage.

3. Ensures loss reserves are set and maintained with timely updates of claims data into our systems, ensuring correctness of systems and file records SSU Director Head of Claims Claims Manager Claims Team Leader Claims Examiner

4. Review claim files and manage proper triage allocation: To appropriate Claims Work Queue by claims type and coverage To appropriate Claims Team by complexity (simple/ complex) To appropriate Claims Department (Complaints, Recovery, Fraud)

5. Manage and assess claims (Fast Track, Within HFC Threshold, and Simple) from end to end including settlement in the system, responding to customer queries, providing updates, and requesting additional information as needed.

6. Prepares and sends written correspondences (e.g. Acknowledgment, Settlement etc.) to brokers, claimants and others as required.

7. Attend to claims enquiries and feedback, maintain positive relationship with all customers, brokers, providers etc.

8. Handles incoming and outbound queries from Customers and/ or Brokers.

9. Proactively apply claims policies and procedures including Chubb’s policy in relation to fraud, salvage, recovery, cost containment and complaints.

10. Attends administrative activities (team huddles, trainings)

11. Performs other related duties as may be assigned by the supervisor/s

12. Immediately report potentially and confirmed Fraudulent cases, Compliance and Privacy Breaches to Management chain.

13. Nominate two process improvement ideas annually for SME and TL endorsement to the Manager.

Experience Good analytical skills and strong attention to detail.

• Demonstrated strong communication skills (written and verbal) and interpersonal skills to be capable of dealing with all levels of Chubb personnel as well as claimants and brokers.
• Ability to organize work effectively and methodically and as a team and adjust to change driven by business needs.
• Ability to maintain a high level of quality in all claims administration activities ensuring the settlement times and complaint levels are minimized.
• Sound knowledge of claims administration procedures and related systems.
• Possess strong customer service behavior

Qualifications

Tertiary Qualified or minimum 2-3 years similar work experience

Claims Insurance background (is preferred)