Specialist/Senior Executive, Claims (Life Insurance)

Generali Life Insurance Malaysia Berhad; Kuala Lumpur; On-site; MYR 150,000 - 200,000; Full time

Job summary

A leading life insurance provider in Kuala Lumpur is seeking a Specialist/Senior Executive, Claims. The role involves providing customer service and managing claims. You'll assess major claims and improve processes based on insights, while ensuring compliance with regulations. The ideal candidate has a Bachelor's degree and at least 5 years of experience in claims handling, with strong analytical and problem-solving skills. This position offers the opportunity to shape a safer future for clients.

Qualifications

• Minimum 5 years of experience in claims handling, preferably within the insurance industry.

Responsibilities

• Assessment and approval of Major Claims, Medical and PA claims.
• Identify improvement opportunities based on data insights.
• Review pending claims and appeals.
• Adhere to Financial Services Act and related guidelines.
• Leverage trends to provide high-quality customer service.

Skills

Strong analytical skills

Critical thinking

Problem-solving skills

Multitasking

Prioritisation skills

Education

Bachelor’s degree in any related field

Job description

Specialist/Senior Executive, Claims (Life Insurance)

Providing reliable and responsive customer service and claims advice to all our policyholders and agents. The service will include handling claims enquiries, complaints, processing and case management.

Responsibilities

• 1. Operational Efficiency – Assessment and approval of Major Claims, Medical and PA claims within the defined approval authority limit and committed service level; recommend approvals above the limit to Superior.
• 2. Simplification – Proactively identify improvement/enhancement opportunities based on data insights and share ideas for innovation in business processes.
• 3. Customer Service – Review pending claims and appeals within the committed service level and make an appropriate revised decision if within the authority limit; handle enquiries and provide quality customer service to clients and agents.
• 4. Control & Functions – Adhere to Financial Services Act 2013, AMLA, SOP, Bank Negara Malaysia guidelines and Group Standard Procedures; liaise with Consultant Doctors and other insurers to determine validity and liability; initiate investigations on suspicious claims and recommend to superior.
• 5. Individual Development – Leverage trends and relationships to provide high‑quality customer service; gather unique perspectives from other teams/functions to optimize outcomes.

Requirements

• Education: Bachelor’s degree in any related field.
• Experience: Minimum 5 years of experience in claims handling, preferably within the insurance industry.
• Skills:
  • Strong analytical, critical thinking and problem‑solving skills.
  • Strong multitasking and prioritisation skills.

Unlock job insights

Salary match, Number of applicants, Skills match

Your application will include the following questions:

• Which of the following statements best describes your right to work in Malaysia?
• What’s your expected monthly basic salary?
• How many years’ experience do you have in the insurance industry?
• How many years’ experience do you have as a Life Claim Assessor?

Insurance & Superannuation 1,001‑5,000 employees

About Generali

Generali is one of the largest global insurance and asset management providers. With over 190 years of insurance experience, we now serve 67 million customers in more than 50 countries worldwide. With a wide network of agents, partners, and branches nationwide, it is one of the largest general insurers in Malaysia, with close to 2 million customers. It strives to further its ambition of being a trusted lifetime partner and, more importantly, enable people to shape a safer and more sustainable future by caring for their lives and dreams. From business to home and mobility to health, it offers comprehensive protection solutions to bring genuine value to individuals, families, and businesses.