Executive, Non-Motor Claims

Berjaya Sompo Insurance Berhad; Kuala Lumpur; On-site; MYR 42,000 - 66,000; Full time

Job summary

Berjaya Sompo Insurance Berhad seeks an Executive, Non-Motor Claims to deliver efficient, fair, customer-focused claims service and ensure timely resolution and regulatory compliance.

The role covers handling, assessing, documenting, and settling claims with internal and external stakeholders, while maintaining accurate records and striving for low outstanding claims. Fresh graduates with internship are welcome.

Qualifications

• Bachelor’s degree in insurance or a related discipline.
• 1 to 3 years of claims handling experience, preferably in General Insurance with exposure to non-motor claims.
• Fresh graduates with internship or practical experience are encouraged to apply.

Responsibilities

• Handle, assess, process, recommend, and approve claims within authority limits.
• Maintain high standards of customer service by handling claims promptly and professionally.
• Review and verify claims documentation, assess liability and quantum, and advise settlements.
• Check and validate new claims registrations, adjustments, reserves, and data entries.
• Appoint and manage adjusters, solicitors, investigators, and other service providers.
• Maintain complete claim records and filing systems with proper documentation.
• Conduct annual reviews of outstanding claims to ensure reserve adequacy and timely resolution.
• Maintain a low outstanding claims ratio through proactive management and follow-up with stakeholders.
• Monitor and report deficiencies in policy coverage and system-related issues to applicable departments.
• Manage reinsurance-related claims, notify reinsurers, and monitor recoveries against treaties.
• Perform other duties as assigned by Management.

Skills

Analytical skills

Problem-solving

Decision making

Interpersonal skills

Communication skills

Self-motivation

Detail orientation

Multi-tasking

MS Office

Claims management systems

Education

Bachelor’s degree in insurance or related discipline

Tools

Microsoft Office

Claims management systems

Job description

We are seeking a proactive and detail-oriented Executive, Non-Motor Claims to deliver efficient, fair, and customer-focused claims services while ensuring timely claim resolution and regulatory compliance.

The key responsibilities will include but are not limited to:

Handle, assess, process, recommend, and approve claims within authorized limits, ensuring compliance with Company policies, service standards, and regulatory requirements. Escalate claims beyond authority limits for approval.

Maintain high standards of customer service by handling claims professionally, fairly, and promptly to uphold the Company's reputation and ensure customer satisfaction.

Review and verify claims documentation, assess claim liability and quantum, provide settlement recommendations, and ensure timely settlement and payment processing.

Check and validate all new claims registrations, adjustments, reserves, and claims data entries to ensure accuracy and compliance with the Company's reserving guidelines and practices.

Appoint and manage adjusters, solicitors, investigators, or other service providers where necessary, and monitor the progress of investigations, reports, and claim status updates.

Maintain complete and accurate claim records and filing systems, including matching and updating supporting documents to claim files and ensuring proper documentation.

Conduct regular reviews of outstanding claims (at least annually) to ensure reserve adequacy, monitor claim progress, update claim status, and follow up on all pending actions for timely resolution.

Maintain a low outstanding claims ratio through proactive claim management, prompt settlement, and effective follow-up with branches, intermediaries, policyholders, reinsurers, and other relevant parties to obtain required information and documentation.

Monitor and report deficiencies in policy coverage, adverse claims trends, operational issues, and system-related problems to HOD, superiors, or relevant departments for corrective actions and continuous improvement.

Manage reinsurance-related claims matters, including notifying reinsurers of claims impacting treaty arrangements, monitoring recoveries, and ensuring reserves attributed to reinsurance treaties are accurately maintained in accordance with treaty agreements.

Perform any other duties and responsibilities as assigned by Management from time to time.

Job specification:

Bachelor’s degree in insurance or a related discipline.

Minimum 1 to 3 years of claims handling experience, preferably in General Insurance with exposure to non-motor claims.

Fresh graduates with relevant internship or practical experience in insurance claims are encouraged to apply.

Knowledge of insurance principles claims processes, and regulatory requirements would be an advantage.

Strong analytical, problem-solving, and decision-making skills.

Good interpersonal and communication skills with the ability to manage stakeholders effectively.

Self-motivated, detail-oriented, and able to work independently as well as within a team environment.

Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Proficient in Microsoft Office applications and claims management systems.

At Berjaya Sompo, you will find a place that believes in you. We are passionate about innovation, teamwork and positive change. We celebrate diversity, encourage creativity and believe that everyone has the power to make a difference. Because here, your career is not just a job. It is a journey of growth, purpose and belonging.

We are part of the Berjaya Group and Sompo Holdings Japan, combining local heart with global expertise. Together, we share one purpose. To make protection simple, meaningful and human. Every day, we work to bring comfort, confidence and care to Malaysians from all walks of life.