Claims Examiner - Third Party Bodily Injury

Allianz; Kuala Lumpur; On-site; Confidential; Full time

Job summary

Allianz in Malaysia seeks a claims reviewer for third‑party bodily injury cases. You will assess documentation, identify fraud indicators, and provide recommendations for fair offers and mandates aimed at efficient resolution.

Responsibilities include negotiating with third parties, coordinating with solicitors, and developing robust settlement strategies to optimize costs and timelines.

Qualifications

• Bachelor’s degree in Law/Insurance/Biomedicine.
• Minimum 2 years’ experience in related fields.
• Good policy understanding incl. conditions and exclusions.
• Good judgement with informed decision making.
• Excellent communication and negotiation skills.
• Familiarity with ChatGPT for automating routine tasks.

Responsibilities

• Review third‑party bodily injury claims and advise on suitable settlement offers.
• Gather docs from insured, solicitors, branches, agents and brokers for thorough assessment.
• Negotiate with third parties to settle claims while minimizing litigation risk.
• Collaborate with panel solicitors on settlement strategies and timelines.
• Develop settlement workflows and fraud prevention measures.

Skills

Communication skills

Negotiation

Decision making

Attention to detail

Fraud awareness

Education

Bachelor's degree in Law/Insurance/Biomedicine

Tools

ChatGPT

Job description

Job Summary

To conduct a comprehensive review and processing of third-party bodily injury claims, and provide recommendations for suitable offers/mandates for resolution.

Key Responsibilities

• Conduct thorough assessment of claims by gathering necessary documentation from insured, third party solicitors, branches, agents, brokers, etc., with a keen attention to detail in identifying potential fraud, ensuring timely and fair settlements in compliance with internal policies and regulatory guidelines (PIAM, BNM).
• Engage in timely and effective negotiations with third parties or their solicitors to achieve claims settlement, minimize the risk of litigation, and enhance cost efficiency.
• Collaborate with panel solicitors to strategies and achieve a timely, fair and reasonable settlement.
• Craft, develop and implement efficient settlement strategies including those for complex claims, emphasizing workflow enhancements to streamline claim closures.
• Collaborate with stakeholders including customers, brokers, agents, and both inter/intra department teams to maintain vigilance for fraud indicators and develop robust fraud prevention measures

Requirements

• Bachelor's Degree in Law/Insurance/Biomedicine
• Minimum 2 years’ experience in related fields.
• Good policy understanding in terms of the policy conditions, exclusions etc.
• Good judgement with ability to make informed decisions.
• Excellent communication and negotiation skills
• Familiarity with using ChatGPT for automating routine tasks and enhancing productivit

Disclaimer Thank you for your interest in joining our team. Due to the high volume of applications we receive, we are unable to provide individual feedback to every applicant. If you do not hear from us within 14 days of submitting your application, please assume that you have not been selected for this position.Important: All updates regarding your application status will be communicated via email. Please ensure you frequently check your email for updates and further instructions.Note: Allianz will not accept any forward unsolicited resumes from any source to our employees email other than directly from a candidate. We will not be responsible for any fees and charges impose.