Claims Management Associate

Accenture Southeast Asia; Subang Jaya; On-site; MYR 100,000 - 150,000; Full time

Job summary

A leading consulting firm is seeking candidates for claims handling positions in Subang Jaya, Malaysia. The role requires the ability to multitask and communicate effectively in English and Mandarin. Responsibilities include managing claims efficiently and ensuring timely closure of cases. A Diploma or Bachelor’s Degree in relevant fields is required, along with proficiency in Microsoft Office. Experience in customer service is a plus, and the candidate must be willing to work during public holidays.

Qualifications

• Minimum qualification includes a Diploma or Bachelor’s Degree in relevant fields.
• Ability to communicate information clearly in both English and Mandarin.
• Experience in Customer Service or Personal Accident Claims Processing is advantageous.

Responsibilities

• Utilize claims handling and settlement techniques for effective case closure.
• Ensure proper follow-up on claims to resolve outstanding issues.
• Maintain accurate data and documentation for system integrity.

Skills

Prioritization

Communication

Customer Service

Time Management

Problem-Solving

Education

Diploma / Bachelor’s Degree in Actuarial Science, Business Admin, Psychology, HR

Tools

Microsoft Office Products

Job description

Job Descriptions

• Utilize acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records. May require additional contact with other parties (i.e. employer, claimants, third parties such as medical providers, auto repair centers, etc.) as deemed necessary
• Ensure proper follow up on cases to resolve outstanding issues and to ensure timely processing and closure of claim
• Provide timely service throughout the life of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, responding to incoming inquires according to company policies, following agreed internal and external processes, policies and procedures to ensure quality and service standards are met. This includes all forms of communications to internal and external parties
• Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information
• Ensure that reserves are accurately updated in a timely manner
• Identify subrogation opportunities and fraud potential and make appropriate referrals
• Provide mentorship to less tenured examiners

Job Requirement / Qualifications

• Minimum Qualification: Diploma / Bachelor’s Degree in Actuarial Science, Business Admin, Psychology, HR
• Ability to prioritize and multi-task effectively in a fast-paced environment
• Ability to communicate information clearly and concisely both verbally and in writing
• Proficiency in English and Mandarin
• Require proficiency in Desk Management, phone ‘etiquette’, time management and dealing with difficult customers
• Computer literate; experience with Microsoft Office Products.
• Must be willing to work during Malaysia public holiday and perform overtime as and when required due to business requirements.
• Experience in the field of Customer Service and/or Personal Accident Claims Processing (advantage)
• Working Hours: Monday - Friday 4.00 AM - 1.00 PM / 8.30 AM - 5.30 PM