Claims Examiner Executive, Non-Motor

Allianz; Kuala Lumpur; On-site; MYR 30,000 - 50,000; Full time

Job summary

A multinational insurance company in Kuala Lumpur is seeking candidates for a claims processing role. Responsibilities include evaluating and managing non-motor claims, proposing system enhancements, and ensuring accurate and timely claims processing. Ideal candidates should have a Bachelor’s degree and good communication skills. Fresh graduates are encouraged to apply. This role provides an opportunity to engage in impactful projects aimed at improving system functionalities and processing efficiency.

Qualifications

• Fresh graduates are welcome to apply.
• Experience in claim processing is advantageous.
• Ability to work independently and as a team player.

Responsibilities

• Propose enhancements for claims processing and systems.
• Evaluate and manage insurance claims for accuracy.
• Analyze claims to determine coverage eligibility.
• Gather and review claim documentation effectively.

Skills

Claims processing

Communication skills

Negotiation

Data analysis

AI tools usage

Education

Bachelor’s Degree or equivalent

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).

You’ll be responsible for:

• Identifying and proposing enhancements for both processing and system functionalities of Non‑motor Claims to ensure effective claims processing.
• Collaborate with IT, vendors, and end‑users from various departments to define requirements, testing scopes, and execute user acceptance tests for system enhancements.
• Evaluating, processing, and managing insurance claims to ensure accuracy, adherence to policy terms, and timely resolution. Key responsibilities include:
  • Claim review: Analyzing claims to determine coverage eligibility, policy terms, and applicable deductibles.
  • Documentation: Gathering and reviewing claim documentation such as incident reports, medical records, photographs, and other evidence.
  • Coverage determination: Assessing policy coverage to determine whether the claim falls within the scope of the policy and its limitations.
  • Adjudication: Making final decisions on claim settlements and payments based on policy terms, investigation results, and legal considerations.
  • Negotiation: Engaging in negotiations with claimants, policyholders, and other relevant parties to settle claims and address any disputes.
  • Communication: Effectively communicating with claimants, policyholders, agents, and legal representatives to provide updates on claim status, request additional information, and address inquiries.
  • Fraud detection: Identifying and flagging potentially fraudulent claims and working with investigative teams to mitigate fraud risk.
  • Customer service: Providing high‑quality customer service by addressing claimants’ concerns, answering questions, and guiding them through the claims process.
• Monitor outstanding claim files, ensuring proper claims management by service providers such as Adjusters, Surveyors, Lawyers, etc.
• Attend to claim‑related queries and discussions with customers, agents, brokers, sales, and other stakeholders.
• Offer insights from a claims perspective to support business acquisition and product development efforts, and conduct necessary claims training for relevant stakeholders whenever required.

Important to your success:

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

Equal Opportunity Employer

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Great to have you on board. Let’s care for tomorrow.