Claims Examiner - Third Party Bodily Injury

Allianz; Kuala Lumpur; Sur place; MYR 60 000 - 90 000; Plein temps

Résumé du poste

Allianz in Kuala Lumpur is seeking a claims reviewer to conduct comprehensive review and processing of third-party bodily injury claims, offering recommendations for resolution mandates. You will ensure compliance with internal policies and regulatory guidelines and work with solicitors to secure fair settlements.

The role requires gathering documentation, negotiating with third parties, and developing settlement strategies while collaborating with customers, brokers, and internal teams to

Qualifications

• Bachelor's Degree in Law/Insurance/Biomedicine.
• Minimum 2 years’ experience in related fields.
• Strong policy understanding including terms and exclusions.
• Excellent communication and negotiation skills.
• Familiarity with ChatGPT for automating routine tasks and boosting productivity.

Responsabilités

• Conduct thorough assessment of claims by gathering documentation from insured, third party solicitors, branches, agents, brokers, etc., identifying potential fraud and ensuring timely, fair settlements in compliance with internal policies and regulatory guidelines.
• Engage in timely negotiations with third parties or their solicitors to settle claims, minimize litigation risk, and improve cost efficiency.
• Collaborate with panel solicitors to strategize and achieve timely, fair settlements.
• Develop and implement efficient settlement strategies including complex claims, emphasizing workflow enhancements for quicker closure.
• Collaborate with stakeholders including customers, brokers, agents, and internal teams to maintain vigilance for fraud indicators and robust prevention measures.

Connaissances

Policy understanding

Decision making

Communication skills

Negotiation skills

ChatGPT automation

Formation

Bachelor's Degree in Law/Insurance/Biomedicine

Description du poste

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