Claims Executive

Private Advertiser; Johor Bahru; On-site; MYR 36,000 - 60,000; Full time

Job summary

Private Advertiser in Johor Bahru, Malaysia is seeking Junior and Senior Claims Executives to manage and process insurance claims with accuracy, efficiency and professionalism. You will be the primary contact for claimants, register and review claims, assess coverage, gather evidence, coordinate payments, maintain files, and update claimants on timelines while ensuring compliance.

Experience with MS Office and claims software, and the ability to work independently in a fast-paced environment are

Qualifications

• Experience in insurance claims handling.
• Excellent organisational and time management skills.
• Strong communication and analytical abilities.
• Ability to work independently and as part of a team.
• Maintain confidentiality and handle sensitive information.

Responsibilities

• Receive, acknowledge and register incoming insurance claims from claimants and related parties.
• Review claim documentation to ensure completeness and accuracy, requesting additional information as required.
• Assess claims against policy terms and conditions to determine validity and coverage eligibility.
• Investigate claims by gathering evidence, conducting interviews with claimants and relevant witnesses, and liaising with loss adjusters where necessary.
• Process claim payments, coordinate with finance and authorise disbursements in accordance with company procedures.
• Maintain detailed and organised claim files, including all documentation, correspondence and decisions made.
• Provide regular updates to claimants regarding the status of their claims and expected resolution timelines.
• Identify and report suspected fraudulent claims to the appropriate department.
• Ensure all claims are processed in compliance with relevant legislation and company policies.
• Liaise with external parties such as brokers, solicitors, medical professionals and repair contractors as needed.
• Contribute to continuous improvement initiatives and share feedback on process enhancements.

Skills

Organizational skills

MS Office

Claims management software

Communication

Analytical skills

Integrity

Teamwork

Tools

MS Office

Claims software

Job description

About the role (Senior and Junior roles available) We are seeking for Junior and Senior Claims Executive to join us. This is a full-time position based in Johor Bahru, Johor. In this role, you will be responsible for managing and processing insurance claims with accuracy, efficiency and professionalism. The Claims Executive plays a crucial part in our organisation by ensuring that all claims are handled promptly and fairly, maintaining our commitment to exceptional customer service and regulatory compliance. You will be the key point of contact for claimants and will work to resolve claims in a timely manner whilst adhering to policy terms and conditions.

Key responsibilities

Receive, acknowledge and register incoming insurance claims from claimants and related parties

Review claim documentation to ensure completeness and accuracy, requesting additional information as required

Assess claims against policy terms and conditions to determine validity and coverage eligibility

Investigate claims by gathering evidence, conducting interviews with claimants and relevant witnesses, and liaising with loss adjusters where necessary

Process claim payments, coordinate with finance and authorise disbursements in accordance with company procedures

Maintain detailed and organised claim files, including all documentation, correspondence and decisions made

Provide regular updates to claimants regarding the status of their claims and expected resolution timelines

Identify and report suspected fraudulent claims to the appropriate department

Ensure all claims are processed in compliance with relevant legislation and company policies

Liaise with external parties such as brokers, solicitors, medical professionals and repair contractors as needed

Contribute to continuous improvement initiatives and share feedback on process enhancements

What we're looking for

Excellent organisational and time management skills with the ability to handle multiple claims simultaneously

Proficiency in Microsoft Office applications and experience with claims management software systems

Exceptional communication skills, both written and verbal, with the ability to interact professionally with diverse stakeholders

Strong analytical and problem-solving abilities with keen attention to detail

Integrity and sound judgment, with the ability to maintain confidentiality and handle sensitive information appropriately

Ability to work independently and as part of a team in a fast-paced environment