Lead Claims Executive: Third-Party Bodily Injury

RHB Insurance Berhad; Malaysia; On-site; MYR 60,000 - 90,000; Full time

Benefits offered by this job

Competitive rewards

Development opportunities

Supportive culture

Job summary

RHB Insurance Berhad is seeking a proactive Claims Executive in Malaysia to assess, manage, and settle insurance claims with fairness and timeliness, while ensuring regulatory compliance. You will collaborate with customers, branches, adjusters, intermediaries, and reinsurers to deliver effective resolution and uphold high service standards.

The role requires strong analytical and communication skills, relevant insurance knowledge, and the ability to work independently or as part of a team in a

Qualifications

• A Bachelor's Degree in related discipline from an institution recognized by the Government of Malaysia.
• Professional insurance qualifications such as AII, AMII, ACII, or equivalent will be an added advantage.
• Experience in handling claims across various classes of insurance, including investigation, assessment, settlement, and recovery processes.
• Good understanding of insurance principles, policy wordings, claims procedures, and industry regulations.
• Familiarity with BNM, PIAM, reinsurance, and regulatory requirements related to claims management.
• Strong analytical and problem-solving skills with the ability to make sound claims decisions.
• Good interpersonal and stakeholder management skills.
• Excellent communication skills, both written and spoken English.
• Strong attention to detail with the ability to manage multiple cases effectively.
• Self-motivated, customer-focused, and able to work independently as well as collaboratively within a team.

Responsibilities

• Verify, assess, and approve claims within delegated authority in a timely manner.
• Process, recommend, and submit claims exceeding authority limits for approval.
• Ensure adjusters are appointed promptly within turnaround time.
• Monitor claims handled by adjusters and review monthly bordereaux reports.
• Coordinate discussions with adjusters on complex or contentious claims.
• Attend monthly bordereaux meetings to review progress and outstanding matters.
• Evaluate and monitor adjusters’ performance and report findings.
• Provide technical claims guidance to subordinates, branches, customers, and stakeholders.
• Escalate complaints to Unit Head/Head of BA/FA for resolution.
• Identify and escalate claims suspected of fraud or policy breaches.
• Conduct periodic reviews of claim files for proper documentation.
• Ensure notifications and reports to MNRB and Treaty Reinsurers are submitted.
• Drive higher monthly claim closure rates while maintaining quality and compliance.
• Pursue and monitor claim recoveries to optimize outcomes.
• Perform other duties assigned by the Company.

Skills

Analytical skills

Problem solving

Communication skills

Interpersonal skills

Stakeholder management

Teamwork

Attention to detail

Self-motivated

Education

Bachelor's degree in related discipline

Job description

RHB Insurance Berhad is seeking a proactive Claims Executive in Malaysia to assess, manage, and settle insurance claims with fairness and timeliness, while ensuring regulatory compliance. You will collaborate with customers, branches, adjusters, intermediaries, and reinsurers to deliver effective resolution and uphold high service standards.

The role requires strong analytical and communication skills, relevant insurance knowledge, and the ability to work independently or as part of a team in a