Non-Motor, Claims Examiner Executive (Start ASAP)

Prosple; Kuala Lumpur; On-site; MYR 100,000 - 150,000; Full time

Job summary

A global insurance company in Kuala Lumpur is looking for a Claims Processing Specialist to enhance non-motor claims processing and collaborate on system functionalities. Ideal candidates will have a Bachelor's degree and be fresh graduates or experienced professionals in claim processing or system enhancements. Strong communication skills and the ability to work independently and in teams are essential. The role offers the opportunity to develop critical skills in a dynamic environment and contribute to innovative solutions.

Qualifications

• Fresh graduates are welcome to apply.
• Experience in system enhancement projects within financial institutions is advantageous.

Responsibilities

• Identify and propose enhancements for processing and system functionalities.
• Collaborate with IT, vendors, and end-users to define requirements and testing scopes.
• Evaluate, process, and manage insurance claims.
• Communicate effectively with claimants and policyholders regarding claim status.
• Provide high-quality customer service by addressing concerns during the claims process.

Skills

Good communication skills

Ability to work independently

Team player

Experience in claim processing

Ability to leverage AI tools

Education

Bachelor's Degree or equivalent

Job description

Join Allianz to improve non-motor claims processing and system functionalities in a collaborative, innovative environment.

Your role

Here’s what you will be doing:

• Identify and propose enhancements for processing and system functionalities of Non‑motor Claims to ensure effective claims processing.
• Collaborate with IT, vendors, and end‑users from various departments to define requirements, testing scopes, and execute user acceptance tests for system enhancements.
• Evaluate, process, and manage insurance claims including Property, Marine Hull, Marine Cargo, Personal Accident (PA), Liability, and Health & Safety (H&S) claims.
• Review claims to determine coverage eligibility, policy terms, and applicable deductibles.
• Gather and review claim documentation such as incident reports, medical records, photographs, and other evidence.
• Assess policy coverage to determine claim scope and limitations.
• Make final decisions on claim settlements and payments based on policy terms, investigation results, and legal considerations.
• Negotiate with claimants, policyholders, and other parties to settle claims and resolve disputes.
• Communicate effectively with claimants, policyholders, agents, and legal representatives regarding claim status and inquiries.
• Identify and flag potentially fraudulent claims and collaborate with investigative teams to mitigate fraud risk.
• Provide high‑quality customer service by addressing concerns, answering questions, and guiding claimants through the claims process.
• Monitor outstanding claims files and ensure proper claims management by service providers such as Adjusters, Surveyors, and Lawyers.
• Attend to claims‑related queries and discussions with customers, agents, brokers, sales, and other stakeholders.
• Offer insights from claims perspective to support business acquisition and product development efforts.
• Conduct necessary claims training for relevant stakeholders when required.

About you

The company is looking for:

• Bachelor’s Degree or equivalent in any related field.
• Fresh graduates are welcome to apply.
• Experience in system enhancement projects within financial institutions is advantageous.
• Experience in claim processing is advantageous.
• Ability to work independently and as a team player.
• Good communication skills.
• Ability to leverage AI tools like ChatGPT for data analysis and generating actionable insights.

How to apply

Submit your application directly as Allianz does not accept unsolicited resumes forwarded to employees’ emails. All updates regarding your application status will be communicated via email. Please check your email frequently for updates and further instructions. If you do not hear from Allianz within 14 days of submitting your application, please assume you have not been selected.

This job may close before the stated closing date, you are encouraged to apply as soon as possible.