Claims Examiner

Zurich General Insurance Malaysia Berhad; Kuala Lumpur; On-site; MYR 60,000 - 78,000; Full time

Benefits offered by this job

Miscellaneous allowance

Monthly Incentive

Free Oversea Convention

Job summary

Zurich General Insurance Malaysia Berhad seeks a Claims Handler to manage personal or commercial line claims within authority limits, following established protocols to ensure efficient, customer-centric service.

A Diploma/Degree in Business or Insurance is required, plus strong communication and negotiation skills, attention to detail, and the ability to work independently in a fast-paced environment.

This role offers growth within a global insurer with opportunities for professional development.

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.
• Determine liability by gathering and analyzing relevant facts.
• Analyse and determine policy coverage.
• Develop case strategy, evaluation, and escalate issues as appropriate.
• Establish timely reserves and review throughout the claims cycle within authority limits.
• Negotiate settlement by establishing an appropriate negotiation strategy.
• Ensure customer service by proactively communicating information and following protocols.
• Refer claim to subrogation and fraud teams when needed.
• Protect Zurich's reputation by keeping claims information confidential.
• Understand current industry trends and participate in professional networks.

Skills

Strong communication

Negotiation skills

Detail-oriented

Education

Diploma/Degree in Business, Insurance, or related field

Job description

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.

Zurich is one of the world's leading insurance group, and one of the few to operate on a truly global basis. Founded 140 years ago, today we employ over 60,000 dedicated employees and serve customers in over 170 countries around the world; with strong positions in North America and Europe, and growing positions in the Middle East, Latin America, and Asia-Pacific.

Founded in Switzerland in 1872, the Zurich Insurance Group ("Zurich") is one of the world’s leading insurance groups, and one of the few to operate on a truly global basis.

Zurich is one of the world's leading insurance group, and one of the few to operate on a truly global basis. Founded 140 years ago, today we employ over 60,000 dedicated employees and serve customers in over 170 countries around the world; with strong positions in North America and Europe, and growing positions in the Middle East, Latin America, and Asia-Pacific.

Founded in Switzerland in 1872, the Zurich Insurance Group ("Zurich") is one of the world’s leading insurance groups, and one of the few to operate on a truly global basis.

Perks and benefits

• Miscellaneous allowance
• Monthly Incentive
• Free Oversea Convention

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