Claims Examiner- Tagalog Speaker

Chubb Business Services Malaysia Sdn Bhd; Kuala Lumpur; On-site; MYR 60,000 - 90,000; Full time

Job summary

Chubb Insurance Malaysia Berhad in Kuala Lumpur seeks an experienced claims professional to manage complex claims, assess settlements and maintain loss reserves. You will interact with customers and brokers, validate information and apply policy terms with a focus on accuracy and efficiency.

The role requires a tertiary qualification or 3-4 years of related experience, strong analytical and communication skills, and the ability to work collaboratively in a dynamic environment.

Qualifications

• Tertiary Qualification or 3-4 years similar work experience.
• Claims Insurance background is required.
• Excellent analytical skills and strong attention to detail.
• Demonstrated strong communication and interpersonal skills.
• Ability to organize work effectively and adapt to change.
• Maintain high quality in all claims administration activities.
• Develop and implement claims management strategies.

Responsibilities

• Produce high quality claims work through prompt and professional contact with customers and brokers.
• Verify, validate and analyse claims information and documents.
• Review and assess complex claims end-to-end including settlement.
• Investigate and evaluate complex claims applying technical knowledge.
• Negotiate with Claimant and Brokers on settlements.
• Maintain loss reserves and update claims data in systems.
• Prepare and send written correspondences to brokers and claimants.
• Handle enquiries; maintain relationships with customers, brokers, providers.
• Process incoming/outgoing queries from customers and brokers.
• Apply claims policies including fraud, salvage, recovery and cost containment.

Skills

Analytical skills

Attention to detail

Communication skills

Interpersonal skills

Teamwork

Organizational skills

Education

Tertiary qualification

Job description

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

Key responsibilities

Verify, validate and analyse claims information and documents indicated in the claim file system.

Review and assess complex claims from end to end including settlement in the system, responding to customer queries, providing updates, and requesting additional information as needed.

Investigate and evaluate complex claims applying technical knowledge in determining appropriate settlement amount in accordance to policy terms and conditions.

Manage negotiation with Claimant and Brokers appropriate claims decision including settlement amount.

Ensures loss reserves are set and maintained with timely updates of claims data into our systems, ensuring correctness of systems and file records.

Prepares and sends written correspondences (e.g. Request for further information, Settlement etc.) to brokers, claimants and others as required.

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

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

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

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

About you

Tertiary Qualified or minimum 3-4 years similar work experience

Claims Insurance background is required

Excellent 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.

Ability to develop and implement appropriate claims management strategies and plans.

Sound knowledge of claims administration procedures and related systems.

Possess strong customer service behaviour.

English = 4/5 and Filipino = 4/5

Chubb is a world leader in insurance. Chubb’s operation in Malaysia (Chubb Insurance Malaysia Berhad) provides a comprehensive range of general insurance solutions for individuals, families and businesses, both large and small, through a multitude of distribution channels. With a strong underwriting culture, the company offers responsive service and market leadership built on financial strength. Chubb in Malaysia has an extensive branch network and more than 2,600 Independent Distribution Partners (Agents).

Want to know more about Chubb? Visit www.chubb.com/my

Chubb is a world leader in insurance. Chubb’s operation in Malaysia (Chubb Insurance Malaysia Berhad) provides a comprehensive range of general insurance solutions for individuals, families and businesses, both large and small, through a multitude of distribution channels. With a strong underwriting culture, the company offers responsive service and market leadership built on financial strength. Chubb in Malaysia has an extensive branch network and more than 2,600 Independent Distribution Partners (Agents).

Want to know more about Chubb? Visit www.chubb.com/my