Claims Executive

Zurich 56 Company Ltd; Kuala Lumpur; On-site; MYR 30,000 - 50,000; Full time

Job summary

A leading company in insurance is seeking a Claims Adjuster to handle personal and commercial line claims efficiently. The role involves accurate documentation, liability determination, and negotiations to ensure customer satisfaction while adhering to legal requirements. Candidates should have a Diploma in Business or Insurance and possess strong communication and negotiation skills.

Qualifications

• Minimum 1 year of relevant experience in insurance claims.
• Capable of handling high volumes of cases independently.

Responsibilities

• Document claims file by accurately capturing claims data.
• Determine liability and work towards timely resolution of claims.
• Assess damages and negotiate settlements.

Skills

Communication

Negotiation

Detail-oriented

Organization

Education

Diploma/Degree in Business or Insurance

Job description

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Purpose

With moderate direction, handles single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information.
• Determine liability by gathering and analyzing relevant facts. Analyze and determine policy coverage.
• Work towards a timely resolution of claims by developing case strategy, evaluating cases, and escalating issues as appropriate.
• Establish timely reserves and perform ongoing reviews throughout the claims cycle within authority limits.
• Assess damages and negotiate settlement of claims by establishing appropriate negotiation strategies.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information, responding to inquiries, and following customer protocols.
• Align with the organization's Claims Vendor Management strategy.
• Ensure legal compliance by following laws, regulations, and internal control requirements. Refer claims to subrogation and fraud teams.
• Contribute to profitable growth by providing risk insights, information, and trends to the Business Unit or customers as needed.
• Protect Zurich's reputation by keeping claims information confidential.
• Stay informed about industry trends, establish personal networks, and participate in professional societies.

Performance Management Accountabilities

• Demonstrate commitment to corporate values.
• Participate actively in the performance management cycle.
• Take action to improve performance on the job.
• Assist and support co-workers. Manage personal development proactively.

Requirements:

- Diploma/Degree in Business, Insurance, or related field.

- Minimum 1 year of relevant experience (Insurance claims preferred).

- Strong communication and negotiation skills.

- Detail-oriented, well-organized, and capable of handling high volumes of cases.

- Able to work independently and under pressure in a fast-paced environment.