Claims Executive (Third Party Bodily Injury)

RHB Banking Group; Malaysia; On-site; MYR 60,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Job summary

RHB Insurance Berhad is seeking a motivated Claims Executive (Third Party Bodily Injury) to assess, manage, and settle insurance claims in a timely and compliant manner. You will work with customers, branches, adjusters, intermediaries, and reinsurers to deliver effective claims resolution and maintain high service standards.

The role involves verifying and approving claims within delegated authority, coordinating with adjusters, and providing technical guidance to the team while ensuring

Qualifications

• Bachelor-level or higher education in a related discipline is required.
• Strong analytical and problem-solving abilities are essential.
• Excellent written and spoken communication skills in English.
• Good interpersonal and stakeholder management capabilities.
• Ability to work independently as well as collaboratively in a team.

Responsibilities

• Verify, assess, and approve claims within delegated authority limits.
• Process and submit claims exceeding authority to the appropriate approving authority.
• Ensure adjusters are appointed promptly within the stipulated turnaround time.
• Monitor claims handled by adjusters and review monthly bordereaux reports.
• Coordinate with adjusters on complex or contentious claims as needed.
• Attend monthly bordereaux meetings to review claim progress and outstanding matters.
• Provide technical claims guidance and support to subordinates and stakeholders.
• Escalate complaints to the Unit Head for prompt resolution.
• Conduct periodic reviews of claim files to ensure proper documentation.

Job description

Claims Executive (Third Party Bodily Injury)

We are looking for a motivated Claims Executive to join our team at RHB Insurance Berhad. In this role, you'll be responsible for assessing, managing, and settling insurance claims in a fair, timely, and professional manner while ensuring compliance with regulatory requirements and company guidelines. You will work closely with customers, branches, adjusters, intermediaries, and reinsurers to deliver effective claims resolution and maintain a high standard of customer service.

What you will be doing

Verify, assess, and approve claims within the delegated authority limit in a timely manner.

Process, recommend, and submit claims exceeding authority limits to the appropriate approving authority for consideration.

Ensure adjusters are appointed promptly within the stipulated turnaround time.

Monitor claims handled by adjusters closely and review monthly bordereaux reports on claim status.

Coordinate and participate in discussions with adjusters on complex or contentious claims when required.

Attend monthly bordereaux meetings with panel adjusters to review claim progress and outstanding matters.

Evaluate and monitor the performance of adjusters and report findings to the Unit Head and Head of BA/FA.

Provide technical claims guidance and support to subordinates, branches, customers, and other stakeholders.

Escalate complaints received from customers, branches, Bank Negara Malaysia (BNM), PIAM, OFS, and intermediaries to the Unit Head or Head of BA/FA for prompt resolution.

Identify and esc ...

Conduct periodic reviews of claim files to ensure proper documentation and adherence to claims management standards.

Ensure all required notifications and reports to MNRB and Treaty Reinsurers (XOL/Surplus) are submitted in accordance with reinsurance agreements.

Drive higher monthly claim closure rates while maintaining service quality and compliance standards.

Actively pursue and monitor claim recoveries to optimize claims outcomes.

Perform any other duties and responsibilities assigned by the Company from time to time.

What we're looking for

A Bachelor's Degree in related discipline from an institution recognized by the Government of Malaysia.

Professional insurance qualifications such as AII, AMII, ACII, or equivalent will be an added advantage.

Experience in handling claims across various classes of insurance, including investigation, assessment, settlement, and recovery processes.

Good understanding of insurance principles, policy wordings, claims procedures, and industry regulations.

Familiarity with BNM, PIAM, reinsurance, and regulatory requirements related to claims management.

Strong analytical and problem-solving skills with the ability to make sound claims decisions.

Good interpersonal and stakeholder management skills.

Excellent communication skills, both written and spoken English.

Strong attention to detail with the ability to manage multiple cases effectively.

Self-motivated, customer-focused, and able to work independently as well as collaboratively within a team.

What we offer

At RHB Banking Group, we foster a collaborative and inclusive work environment where you can grow and perform at your best. You can expect competitive rewards, development opportunities, and a supportive culture that values your contribution.

*Only shortlisted candidates will be notified.