Claims Quality Assurance & Process Improvement

Joinimagine; Kuala Lumpur; On-site; MYR 90,000 - 130,000; Full time

Job summary

Allianz Group in Malaysia is seeking a Claims Quality Assurance professional to ensure regulatory compliance and adherence to claims handling guidelines. You will drive continuous improvement, analyze quality trends, and collaborate across Claims, Operations and IT to support business transformation and operational excellence.

The role demands a degree in related field and 5-7 years' experience in claims/QA, strong analytical skills, stakeholder management, and proficiency with Microsoft Office.

Qualifications

• Degree in Insurance, Business, Finance, Information Systems, or related.
• 5-7 years of experience in Claims, QA, Process Improvement, or Operations Management.
• Strong knowledge of claims handling processes and QA methodologies.
• Experience in business process improvement or system enhancement.
• Strong analytical and communication skills.

Responsibilities

• Manage Claims Quality Assurance activities across all claims lines.
• Conduct quality reviews and identify opportunities to improve claims handling standards and compliance.
• Analyze quality trends, root causes, and operational gaps, and recommend corrective actions.
• Partner with Claims Management to drive continuous improvement initiatives and strengthen governance.
• Follow through claims process enhancement and system improvement initiatives to improve efficiency and customer experience.
• Gather and translate business requirements for claims system developments and enhancements.
• Support testing, implementation, and post-deployment reviews for claims-related projects.
• Monitor key quality and performance indicators and provide actionable insights to management.
• Collaborate with internal and external stakeholders to support strategic and operational objectives.

Skills

Quality assurance

Process improvement

Stakeholder management

Communication skills

Analytical thinking

Education

Bachelor's degree in Insurance/Business/Finance/Information Systems

Tools

Microsoft Office

ChatGPT

Job description

Job Summary

Perform Claims Quality Assurance function to ensure compliance with regulatory requirements, Allianz standards, and claims handling guidelines. Drive continuous improvement in claims quality, operational efficiency, and customer outcomes through quality reviews, process optimization, and system enhancement initiatives. Collaborate with stakeholders across Claims, Operations, and IT to support business transformation and operational excellence.

Key Responsibilities

• Manage Claims Quality Assurance activities across all claims lines.
• Conduct quality reviews and identify opportunities to improve claims handling standards and compliance.
• Analyze quality trends, root causes, and operational gaps, and recommend corrective actions.
• Partner with Claims Management to drive continuous improvement initiatives and strengthen governance.
• Follow through claims process enhancement and system improvement initiatives to improve efficiency and customer experience.
• Gather and translate business requirements for claims system developments and enhancements.
• Support testing, implementation, and post-deployment reviews for claims-related projects.
• Monitor key quality and performance indicators and provide actionable insights to management.
• Collaborate with internal and external stakeholders to support strategic and operational objectives.

Key Requirements

• Degree in Insurance, Business, Finance, Information Systems, or a related discipline.
• Minimum 5-7 years of experience in Claims, Quality Assurance, Process Improvement, or Operations Management.
• Strong knowledge of claims handling processes, quality assurance methodologies, and insurance operations.
• Experience in business process improvement, system enhancement, or project implementation.
• Strong analytical, problem-solving, and stakeholder management skills.
• Excellent communication and presentation skills.
• Proficient in Microsoft Office applications and reporting tools.
• Familiar with the use of AI tools such as ChatGPT for tasks simplification

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

Join us. Let's care for tomorrow.