Senior Claims & Process Improvement Lead

Allianz Malaysia; Kuala Lumpur; On-site; MYR 70,000 - 110,000; Full time

Job summary

Allianz Malaysia is seeking a skilled claims professional to manage and review open files from notification through settlement, coordinating Adjusters and investigations. You will identify leakage roots, implement process improvements, and ensure policy compliance while leveraging AI tools to streamline tasks.

The role requires a strong understanding of P&C claims, 5+ years of experience, and the ability to make sound judgments in complex cases.

Qualifications

• Bachelors’ Degree or equivalent in any related field / Associated MII / CII.
• Minimum 5 years’ experience in P&C claim handling.
• Well verse with claims processes and handling.
• Good policy understanding in terms of the policy conditions, exclusions etc.
• Good judgement and able to make decision.
• Familiar with the use of AI tools such as ChatGPT for tasks simplification.

Responsibilities

• Regular review of open files to identify root causes of claims leakage and translate findings into action plans.
• Manage specialized claims from notification to settlement and oversee Adjusters investigations.
• Monitor outstanding claim files with Adjusters.
• Review work processes and improve claim guidelines and procedures.
• Assist in department administration and systems for smooth operations.
• Investigate potential fraud cases to uncover patterns and involved parties.
• Develop claim reviews plans for outstanding and closed cases.
• Handle complex and contentious claims to ensure compliance and smooth settlement.
• Analyze fraud trends to maintain up-to-date market knowledge.
• Back up team members as required.
• Perform other duties delegated by management.
• Ensure compliance with policies and regulations.

Skills

P&C claims handling

Fraud detection

Policy understanding

Decision making

AI tools familiarity

Research & analysis

Education

Bachelor's degree in related field / MII / CII

Job description

Allianz Malaysia is seeking a skilled claims professional to manage and review open files from notification through settlement, coordinating Adjusters and investigations. You will identify leakage roots, implement process improvements, and ensure policy compliance while leveraging AI tools to streamline tasks.

The role requires a strong understanding of P&C claims, 5+ years of experience, and the ability to make sound judgments in complex cases.