Claims Process & Quality Assurance Analyst

Chubb; Kuala Lumpur; On-site; MYR 60,000 - 80,000; Full time

Job summary

A leading company in the insurance sector is seeking a Claims Process & Quality Assurance Analyst to enhance claims processes across multiple countries. The role involves analyzing workflows, collaborating with stakeholders, and implementing quality assurance measures. Ideal candidates will have a Bachelor’s degree and over 5 years of experience in the insurance industry, with strong analytical and problem-solving skills. This position offers an opportunity to drive operational excellence and improve claims systems.

Qualifications

• 5+ years of experience in the insurance industry, preferably in claims processing or quality assurance.
• Ability to work effectively within cross-functional teams.

Responsibilities

• Analyze and document existing claims processes for improvement.
• Collaborate with stakeholders to gather business requirements.
• Prepare test scripts and cases for new systems.

Skills

Analytical Thinking

Collaboration

Time Management

Problem Solving

Attention to Detail

Education

Bachelor’s Degree

Tools

MS Excel

PowerPoint

Job description

Role Summary:

• We are looking for a Claims Process & Quality Assurance Analyst to enhance and ensure the quality of our claims processes across all countries.
• In this multifaceted role, you will be involved in analyzing claims workflows, gathering requirements, refining business processes, and implementing quality assurance measures to drive operational excellence.

Responsibilities:

• Analyze and document existing claims processes to identify areas for improvement and optimization.
• Collaborate with stakeholders to gather and define business requirements and ensure that deliverables align with stakeholder expectations and regulatory standards.
• Develop and implement process mapping and documentation.
• Coordinate requirement-gathering workshops to understand business needs related to claims processes.
• Document detailed requirement analyses and business cases for new projects, focusing on continuous improvement in claims systems and processes.
• Evaluate and refine existing claims processes to enhance operational efficiency.
• Prepare test scripts and cases to support the implementation of new systems and processes.
• Collaborate with business partners to ensure compliance with claims best practices, claims guidelines, and country-specific regulations.
• Continuously improve the technical quality and operational performance of the claims product by measuring compliance through file reviews.
• Support the delivery and rollout of claims best practices and the QA process across all countries.
• Lead training sessions to enhance understanding and implementation of Best Practices and QA processes within claims teams.
• Facilitate calibration of the QA process through re-reviews, training, and feedback to ensure consistency in claims handling.
• Partner with internal and external claims management at various levels to analyze findings, communicate results, and recommend solutions.
• Assist in the development of meaningful action plans to address identified issues and enhance claims processes.

Requirements:

• Possess a Bachelor’s degree with 5+ years of experience in the insurance industry. Experience in claims processing, quality assurance, or claims business analysis preferred.
• Proven ability to work effectively within cross-functional teams and collaborate with stakeholders across different geographical locations.
• Demonstrated ability to meet tight deadlines while delivering high-quality work.
• Strong organizational skills with excellent time management capabilities, able to prioritize tasks effectively in a fast-paced environment.
• Independent worker and analytical thinker, skilled in conducting investigations and data analysis.
• Meticulous attention to detail with robust analytical and problem-solving capabilities.
• Think outside of the box to support the business in delivering its strategic objectives rather than just responding to a pre-defined request.
• Strong work ethic coupled with a positive, can-do attitude.
• Advanced proficiency in MS Excel and strong presentation skills, capable of delivering compelling presentations at various organizational levels (PowerPoint experience is a must).
• Knowledge of process mapping and change management methodologies.
• Experience in effectively communicating with internal and external executive stakeholders.