Claims Executive (Third Party Bodily Injury)

RHB Insurance Berhad; Malaysia; On-site; MYR 60,000 - 90,000; Full time

Benefits offered by this job

Competitive rewards

Development opportunities

Supportive culture

Job summary

RHB Insurance Berhad is seeking a proactive Claims Executive in Malaysia to assess, manage, and settle insurance claims with fairness and timeliness, while ensuring regulatory compliance. You will collaborate with customers, branches, adjusters, intermediaries, and reinsurers to deliver effective resolution and uphold high service standards.

The role requires strong analytical and communication skills, relevant insurance knowledge, and the ability to work independently or as part of a team in a

Qualifications

• 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.

Responsibilities

• Verify, assess, and approve claims within delegated authority in a timely manner.
• Process, recommend, and submit claims exceeding authority limits for approval.
• Ensure adjusters are appointed promptly within turnaround time.
• Monitor claims handled by adjusters and review monthly bordereaux reports.
• Coordinate discussions with adjusters on complex or contentious claims.
• Attend monthly bordereaux meetings to review progress and outstanding matters.
• Evaluate and monitor adjusters’ performance and report findings.
• Provide technical claims guidance to subordinates, branches, customers, and stakeholders.
• Escalate complaints to Unit Head/Head of BA/FA for resolution.
• Identify and escalate claims suspected of fraud or policy breaches.
• Conduct periodic reviews of claim files for proper documentation.
• Ensure notifications and reports to MNRB and Treaty Reinsurers are submitted.
• Drive higher monthly claim closure rates while maintaining quality and compliance.
• Pursue and monitor claim recoveries to optimize outcomes.
• Perform other duties assigned by the Company.

Skills

Analytical skills

Problem solving

Communication skills

Interpersonal skills

Stakeholder management

Teamwork

Attention to detail

Self-motivated

Education

Bachelor's degree in related discipline

Job description

About the Role

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 escalated claims suspected of fraud or breaches of policy conditions to the Section Head, Head of BA/FA, or CEO where appropriate.
• 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. A mantra for our clients, customers, partners and every member of the RHB family. Yes, you. Our employees are one of the reasons we are here today.

Dynamic, forward-thinking and progressive, there is a reason why we are an award-winning financial institution. Join us today and be a part of a winning family. At RHB, we take pride in our people and our teams. Great relationships built on trust, a 'leading it right' environment, challenging assignments and a culture of excellence are the pillars to the dynamic and diversified workplace we call home. As we grow towards realising our aspirations, we promise a workplace built on the five pillars - RHB Cares; RHB Leads; RHB Inspires; RHB Progresses; and RHB Rewards.