Executive / Senior Executive, Major Claims

Allianz; Kuala Lumpur; On-site; MYR 469,000 - 759,000; Full time

Job summary

Allianz in Kuala Lumpur is seeking a claims specialist to process Major and Life claims end-to-end, ensuring timely and accurate decisions. You will review medical information, flag potential fraud or non-disclosure, and communicate with intermediaries to keep the workflow smooth.

Ideal candidates will have a bio-medical science background, strong communication skills, and at least 2 years in Life/Major claims.

Qualifications

• Clear written and verbal communication
• Ability to interpret medical reports and terms
• Strong attention to accuracy and turnaround times
• Willingness to learn and adapt processes

Responsibilities

• Process and assess Major/Life claims end-to-end
• Identify potential fraud or non-disclosure in cases
• Complete tasks within defined turnaround times
• Liaise with intermediaries in workflow
• Draft and send correspondence independently
• Participate in UAT testing and new product setups

Skills

Communication skills

Attention to detail

Medical knowledge

Education

Bio-medical science degree

Tools

ChatGPT

Job description

Looking for a career that allows you to take ownership of your work?

In your new role, you will process Major/Life claims and ensure that departmental strategic initiatives are continuously met, contributing to the overall achievement of the Company’s mission and business plan. You will provide optimal service to both internal and external customers, ensuring that the moment of truth experience is realized.

You’ll be responsible for:

• Process and assess Major (Death, CI, TPD, Waiver claim) end to end
• Able to identify and flag out potential suspected fraud/non-disclosure while assessing cases
• Able to complete the end to end task within the Turn Around Time given accurately
• To liaise with intermediaries in work process
• Draft and send correspondence letters independently
• Constantly look for ways to improve the current process
• To take part in UAT testing, new product set-up
• Familiarity with using ChatGPT for automating routine tasks and enhancing productivity

Important to your success:

• Good communication skills in both written and verbal
• Inquisitive and passionate in paying a genuine and just claim
• Conscientious and committed in ensuring service level is met at all times
• Graduate in bio-medical science or any science Related studies are an added advantage.
• 2 years in Life/Major claims is an added advantage
• Knowledge in medical terms/medical related studies is an added advantage
• Ability to consume medical information from the given report and to be able to make /stand by the decision made

Disclaimer:

Thank you for your interest in joining our team. Due to the high volume of applications we receive, we are unable to provide individual feedback to every applicant. If you do not hear from us within 14 days of submitting your application, please assume that you have not been selected for this position.

Important:

All updates regarding your application status will be communicated via email. Please ensure you frequently check your email for updates and further instructions.

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.

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.

Join Us. Let's care for tomorrow.