Claims Quality Assurance Auditor

Genpact; Subang Jaya; On-site; MYR 60,000 - 90,000; Full time

Job summary

A leading technology services firm in Malaysia seeks a Claims Quality Assurance Auditor. In this role, you will enhance claims processes through data analysis and oversight, ensuring the accuracy and efficiency of claim handling. Applicants should have relevant qualifications and 3-5 years of experience in claims management, particularly in large commercial losses. This position offers an opportunity to work within a dedicated quality assurance team and make a significant impact on claims operations.

Qualifications

• 3-5 years in assessing, handling, negotiating, adjusting, and settling claims.
• Experience with large commercial losses of at least USD/GBP 50,000.
• Familiarity with quality assurance methodologies, including peer reviews.

Responsibilities

• Perform quality audits across all lines of business.
• Prepare monthly performance reports based on audits.
• Analyse claims data to uncover trends and patterns.

Skills

Data analysis

Quality assurance

Insurance claims handling

Reporting

Education

ACII, AMII, ANZIIF, Diploma in Insurance or Bachelor's degree in relevant field

Job description

At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory, our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large‑scale models to agentic AI, our breakthrough solutions tackle companies’ most complex challenges.

If you thrive in a fast‑moving, tech‑driven environment, love solving real‑world problems, and want to be part of a team that’s shaping the future, this is your moment.

Genpact (NYSE: G) is an advanced technology services and solutions company that delivers lasting value for leading enterprises globally. Through our deep business knowledge, operational excellence, and cutting‑edge solutions – we help companies across industries get ahead and stay ahead. Powered by curiosity, courage, and innovation, our teams implement data, technology, and AI to create tomorrow, today. Get to know us at genpact.com and on LinkedIn, YouTube, and Facebook.

Inviting applications for the role of Claims Quality Assurance Auditor – Claims Performance

The purpose of the Claims Quality Assurance Auditor role is essential in driving improvements & optimizations in our claims processes through robust data analysis and strategic insights.

Responsibilities

Perform a given number of quality audits across all line of business such as Marine, Casualty, Property, Crisis Management, Reinsurance and many more.

Prepare monthly reports on claims performance based on quality assurance audits and various other reporting such as static claims, KPI report based on feedback from claim managers, incoming complaints, etc.

Analyse insurance claims data to uncover trends, patterns, and anomalies.

Generate and manage detailed reports to track key metrics and performance indicators.

Translate complex data sets into understandable and actionable reports for both technical and non‑technical stakeholders.

Maintain the highest standards of data confidentiality and security.

Qualifications

ACII, AMII, ANZIIF, Diploma in Insurance or Bachelor’s degree in any relevant field i.e. Statistics, Mathematics, Actuarial Science.

3‑5 years of experience with assessing, handling, negotiating, adjusting, and settling claims, preferably insurance or reinsurance claims that are large commercial losses of at least USD/GBP 50,000 and that involve complex coverage investigations and complex quantum investigations and disputes. It is a preference that the candidate has vast casualty / liability experience.

Candidate must be willing to learn other all classes of business, for example Marine (Hull, Cargo, and Liability), Aviation, and various Property and Liability products.

Candidate must have at least some experience with quality assurance, for example peer reviews or previous experience in a Quality Assurance role that involves Open File Reviews (OFR) and Closed File Reviews (CFR), including determining any leakage.

The candidate will attend 2‑3 months training, which includes training in the quality assurance (OFR and CFR) methodology, weighting, and scoring, as well as calibration with the Head of QA.

The role is responsible for carrying out OFRs and CFRs for 15‑25 claims adjusters as well as identifying root causes, articulating insights, and developing action plans for the individual adjusters. Approximately 70‑80% of the day is spent on reviews and scoring of claims files.

The role reports to the KL based QA Manager, and the role plays an important part in the continuous development and improvements, especially improvements in technical results and improving indemnity control.

The role forms part of a team of 4 QA experts that work directly with claims and underwriting teams in London in terms of articulating quality assurance scores, action plans and progression upon them. The role will regularly facilitate conference calls to present and articulate the technical performance of the local claims team in KL.

Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation. For more information, visit www.genpact.com. Follow us on Twitter, Facebook, LinkedIn, and YouTube.

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