Senior Claims Examiner, Marine Claims

Chubb External; Malaysia; On-site; MYR 60,000 - 120,000; Full time

Job summary

Chubb External in Malaysia is seeking a claims professional to process and monitor marine claims in line with SOPs and authority letters. You will acknowledge insureds, appoint surveyors, register claims within 5 working days, create files in Workview, and manage reserves in PolisyAsia & Meridian.

You will follow up for reports, handle recoveries, and ensure timely PLAs/RLAs/SLAs with insurers and reinsurers, while upholding regulatory compliance across systems.

Responsibilities

• Process new marine claims per SOP and Letter of Authority.
• Issue acknowledgement to insured, intermediaries, and marketers.
• Appoint marine surveyors/adjusters as needed.
• Register claims promptly within 5 working days.
• Create claims file in Workview.
• Create reserves in PolisyAsia & Meridian.
• File all correspondence and documents.
• Follow up for initial reports from surveyors/adjusters.
• Manage CABFAC/CABCO recoveries for outward placements.
• Issue PLAs, RLAs, SLAs to insurers and reinsurers.
• Monitor progress of claims.
• Follow up for status/ Preliminary/Final reports.
• Remind for outstanding documents.
• Diary/pend outstanding files for monitoring.
• Approve claims within 7 working days after reports.
• Ensure fair, timely settlement per policy terms.
• Communicate claim decisions to insured/intermediaries.
• Ensure accurate payments and proper documentation.
• Maintain consistency of file status across systems.
• Handle complaints and disputes.
• Evaluate complaints to reduce issues.
• Respond to enquiries from claimants and units.
• Submit periodic/ad hoc data requests and reports.
• Conduct file review at least once a year.
• Vendor management to ensure service standards.
• Fraud identification and management.
• Subrogation recovery – early action.

Job description

• Processing new marine claims in accordance with Claims Best Practice/SOP, and Letter of Authority.
  a) Issue acknowledgement to insured/intermediaries/marketers.
  b) Appoint marine surveyors/adjusters as needed.
  c) Ensure prompt and accurate claim registration within 5 working days.
  d) Ensure claims file creation in Workview.
  e) Reserves created in PolisyAsia & Meridian.
  f) File all correspondence and documents.
  g) Follow up for initial reports from marine surveyor/adjuster/expert.
  h) Manage CABFAC/CABCO recoveries for outward placements.
  i) Ensure timely issuance of PLAs, RLAs, and SLAs to all following insurers and treaty reinsurers

• Monitoring the progress of claims

  a) Follow up with marine surveyors/adjusters/experts for claim status and reserve updates.
  b) Follow up for Preliminary/Status/Final Reports.
  c) Remind insured/intermediaries/marketers for outstanding documents/information.
  d) Diary/pend outstanding files for monitoring.

• Claim processing

  a) Approve claims within 7 working days upon receipt of all required reports.
  b) Ensure fair and timely settlement per marine policy terms and regulatory requirements.
  c) Communicate claim decisions (offer/denial) to insured/intermediaries/marketers.
  d) Ensure accurate claims payment and proper documentation.
  e) Maintain consistency in file status across Workview, PolisyAsia & Meridian.

• Handling of complaints i.e.

  a) Monitor and manage complaints/disputes.
  b) Evaluate complaints to reduce recurring service issues

• Responding to claims enquiries from claimants, business units, and intermediaries (internal/external calls)

• Timely submission of periodic and ad hoc requests for data, analysis and reporting i.e. large loss report to management, monthly XOL report, PIAM Quarterly report etc.

• Conduct file review – minimum once a year.

• Others

  
  a) Vendor management – ensure compliance of service standard
  b) Fraud identification & management

  c) Subrogation Recovery – early action.