Motor Claims Assistant Manager

Tokio Marine Insurans (Malaysia) Berhad; Kuala Lumpur; On-site; MYR 20,000 - 100,000; Full time

Job summary

A leading insurance company in Kuala Lumpur seeks a Motor Claims Officer to handle and process settlements diligently. The role requires a minimum of 5 years' experience in motor claims handling. Responsibilities include approving claims, monitoring enquiries, ensuring compliance with policies, and identifying fraud. The ideal candidate will possess strong analytical, negotiation, and good communication skills, as well as a relevant degree or professional qualification. Join a dynamic team in a challenging yet rewarding role.

Qualifications

• Minimum 5 years’ experience in motor claims handling.
• Experience in delivering client focused solutions based on customer needs.

Responsibilities

• Handle and process claims in accordance with policies.
• Approve claims within departmental authority limits.
• Assist Unit Head in monitoring enquiries and complaints.
• Review outstanding claim files yearly for adequacy.
• Assist with report generation from the Merimen system.
• Authorize payments and handle incoming enquiries.
• Determine insurance liability on complex cases.
• Ensure compliance with legal requirements and regulations.
• Identify potential fraud and make referrals.

Skills

Good communication and written skills

Good analytical skills

Negotiation skills

Problem solving skills

Motor Claims knowledge

Education

Minimum Degree holder or Professional Qualification in Insurans

Job description

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Handle, process and recommend settlement of claims diligently in accordance with policy contract, company policy and procedures.

Approving claims for the peers with lower authority within the department benchmark/turnaround time.

To assist Unit Head to monitor general enquiries and ensure complaints are attended within the benchmark set by the department.

To ensure outstanding claim files are reviewed yearly and ensure claim reserves are adequate with status updated.

To assist Unit Head with report generation from Merimen system e.g. OD daily productivity, etc.

To authorize payments.

To handle incoming enquiries from internal or external parties via emails, phone calls and letters.

To authorize, deny and determine extent of insurer’s liability on case of discharge that surpasses the authority of an Executive.

To ensure claims recommendations and decisions are complied with legal requirements, industry regulations, company policies and professional codes.

Keep ratio of outstanding claims at healthy level.

Highlight to supervisors and/or HODs of any deficiency in policy coverage and adverse claims trends to facilitate corrective and appropriate action.

Identifying potential fraud and make appropriate referrals.

To assist Unit Head with any projects entrusted to the Unit and to lead team members in certain projects.

To accept any roles that the management may assigned from time to time.

Requirements

Minimum Degree holder or Professional Qualification in Insurans.

Minimum 5 years’ experience in motor claims handling.

Experience in delivering client focused solutions based on customer needs.

Good communication and written skills.

Good analytical, negotiation and problem solving skills.

Motor Claims knowledge.

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