Claims Examiner Executive, Non-Motor

Allianz Malaysia; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading insurance company is looking for a proactive individual to enhance their claims processing system and manage non-motor claims. This role involves collaboration across departments, ensuring claim accuracy, and providing exceptional customer service. Ideal candidates will possess a Bachelor’s Degree and have strong communication and analytical skills.

Qualifications

• Fresh graduates are welcome to apply.
• Experience in claim processing advantageous.
• Experience in system enhancement projects within financial institutions is advantageous.

Responsibilities

• Identify and propose enhancements for processing and system functionalities of Non-motor Claims.
• Collaborate with IT, vendors, and end-users to define requirements.
• Evaluate, process, and manage insurance claims for accuracy.

Skills

Communication

Analytical Skills

Negotiation

Teamwork

Independence

Education

Bachelor’s Degree or equivalent

Tools

ChatGPT

Job description

Job Summary

Engage proactively in projects to improve processing efficiency and enhance system functionalities. Additionally, process Non-motor claims, including Property, Marine Hull, Marine Cargo, Personal Accident (PA), Liability, and Health & Safety (H&S).

Responsibilities

1. Identify and propose enhancements for processing and system functionalities of Non-motor Claims to ensure effective claims processing.
2. Collaborate with IT, vendors, and end-users across departments to define requirements, testing scopes, and execute user acceptance tests for system enhancements.
3. Evaluate, process, and manage insurance claims to ensure accuracy, policy adherence, and timely resolution, including:
1. Claim review: Analyze claims for coverage eligibility, policy terms, and deductibles.
2. Documentation: Gather and review claim documents such as incident reports, medical records, and evidence.
3. Coverage determination: Assess policy coverage scope and limitations.
4. Adjudication: Make final decisions on claim settlements based on policy and investigation results.
5. Negotiation: Settle claims through negotiations with claimants and stakeholders.
6. Communication: Update claimants, policyholders, and agents on claim status and inquiries.
7. Fraud detection: Identify and flag potentially fraudulent claims.
8. Customer service: Provide quality support and guidance throughout the claims process.
4. Monitor outstanding claims files and ensure proper management by service providers such as adjusters, surveyors, and lawyers.
5. Address claims-related queries and discussions with customers, agents, brokers, sales, and other stakeholders.
6. Provide claims insights to support business acquisition and product development, and conduct claims training for stakeholders as needed.

Qualifications

• Bachelor’s Degree or equivalent in any related field.
• Fresh graduates are welcome to apply.
• Experience in system enhancement projects within financial institutions is advantageous.
• Experience in claim processing is advantageous.
• Ability to work independently and as part of a team.
• Good communication skills.
• Ability to leverage AI tools like ChatGPT for data analysis and insights.

Disclaimer

Thank you for your interest. Due to high application volume, we cannot provide individual feedback. If you do not hear from us within 14 days, please assume you have not been selected. All updates will be communicated via email. Allianz does not accept unsolicited resumes from external sources except directly from candidates. We are committed to diversity and inclusion in our workforce.

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