Claims Examiner

婵物捨; Kuala Lumpur; On-site; MYR 30,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Claims Specialist to manage personal and commercial line claims. This role involves analyzing claims data, negotiating settlements, and ensuring legal compliance while providing exceptional customer service. You will play a crucial role in protecting the company's reputation and contributing to profitable growth. Join a diverse and inclusive environment that values your contributions and offers numerous training and development opportunities. Be part of a company that prioritizes its culture and encourages you to thrive in your career.

Qualifications

• 3+ years of experience in claim processing is advantageous.
• Bachelor's degree or equivalent in a related field required.

Responsibilities

• Document and analyze claims data to determine liability.
• Negotiate settlements and establish reserves within authority limits.

Skills

Claims Processing

Analytical Skills

Negotiation

Customer Service

Legal Compliance

Education

Bachelor’s Degree in Related Field

Job description

With moderate direction, handles single and multi-party personal or commercial line claims of moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information. To determine liability by gathering and analyzing relevant facts
• Analyze and determine policy coverage Work to have a timely resolution to claims by developing case strategy, developing a case evaluation; escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits
• Assess damages, Negotiate settlement of claim by establishing an appropriate negotiation strategy
• Meet quality standards by following the best practices.
• Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols
• Aligned to the organization's Claims Vendor Management strategy.
• Ensure legal compliance by following laws and regulations and internal control requirements.
• Refer claim to subrogation and fraud teams
• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customers as needed.
• Protect Zurich's reputation by keeping claims information confidential.
• Understand the current industry trends and establish personal networks and participate in professional societies.
• Manage litigation by assigning counsel within the approved panel where applicable
• Bachelors’ Degree or equivalent, in any related field.
• Possessing more than 3 years’ work experience in claim processing will be advantageous.

At Zurich we are proud of our culture. We are passionate about Diversity and Inclusion. We want you to bring your whole self to work we have a diverse mix of customers, and we want our employee base to reflect that.

Our diversity and inclusion initiatives are creating an environment where everyone feels welcome regardless of protected characteristics.

With the above in mind, we accept applications from everyone regardless of your background, beliefs, or culture.

We are committed to continuous improvement, and we offer access to a comprehensive range of training and development opportunities. Zurich is passionate about supporting employees to help others by getting involved in volunteering, charitable and community activity.

So, make a difference. Be challenged. Be inspired. Be supported, Love what you do. Work for us.

You are the heart & soul of Zurich!

At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right? We highly value the experience and know-how of our employees and offer a wide range of opportunities across business areas to encourage you to apply for new opportunities within Zurich when you are ready for your next career step. We’re proud to have earned Great Place To Work Certification. Our company culture is our top priority! #GPTWcertified

• Location(s): MY – Kuala Lumpur
• Schedule: Full Time
• Recruiter name: Caroline Louis