Senior Claims Manager – Life Insurance & Process Improvement

Hong Leong Assurance Berhad; Petaling Jaya; On-site; MYR 150,000 - 200,000; Full time

Job summary

A prominent insurance company based in Petaling Jaya is seeking a dedicated Claims Assessor with a Bachelor's degree in Medical Science, Nursing, or Biology. The successful candidate will have at least 3 years of relevant experience in the life insurance sector and exhibit strong customer service skills along with the ability to manage claims and oversee compliance. This role encourages teamwork and process improvement to enhance operational efficiency.

Qualifications

• Minimum 3 years of claim assessment experience in the life insurance industry, with at least 2 years in a supervisory role.
• Good knowledge of general medical knowledge and Insurance Guidelines.
• Demonstrated ability to solve customer service issues effectively.

Responsibilities

• Review and process claim cases within set authority limits.
• Respond to claims enquiries and follow up on pending cases.
• Conduct investigations on potential fraudulent claims.
• Ensure compliance with corporate policies and regulations.

Skills

Claims assessment

Interpersonal skills

Customer service skills

Ability to work under pressure

Education

Bachelor's Degree in Medical Science, Nursing, Biology or equivalent

Job description

A prominent insurance company based in Petaling Jaya is seeking a dedicated Claims Assessor with a Bachelor's degree in Medical Science, Nursing, or Biology. The successful candidate will have at least 3 years of relevant experience in the life insurance sector and exhibit strong customer service skills along with the ability to manage claims and oversee compliance. This role encourages teamwork and process improvement to enhance operational efficiency.