Claims Executive

QUESS SELECTION & SERVICES PTE. LTD.; Singapore; On-site; SGD 42,000 - 65,000; Full time

Job summary

QUESS SELECTION & SERVICES PTE. LTD. in Singapore is seeking a General Insurance Claims Executive / Claims Specialist to manage daily claims operations, review and process claims, and maintain reserves in line with policy and regulatory requirements.

You will coordinate with adjusters, service providers, and management to ensure timely, accurate claim resolutions. The role requires 3-5 years of General Insurance claims experience, strong analytical and communication skills, and a high level of

Qualifications

• Diploma, Degree, or relevant professional qualification.
• 3-5 years of experience in General Insurance Claims, preferably with exposure to multiple classes of insurance.
• Comprehensive knowledge of insurance claims processes, claims assessment, policy liability, reserving, recoveries, and claims administration.
• Strong analytical, investigative, and problem-solving skills, with excellent attention to detail.
• Strong understanding of claims governance, regulatory compliance, SOPs, and audit requirements.
• Excellent communication and interpersonal skills, with the ability to communicate complex claims matters clearly to stakeholders at all management levels.
• High level of integrity, professionalism, and confidentiality.
• Ability to work independently while being an effective team player.
• Adaptable, open-minded, organised, and able to manage multiple priorities and deadlines in a fast-paced environment.

Responsibilities

• Manage day-to-day claims operations including processing, assessment, documentation, and follow-up activities.
• Review and process General Insurance claims in accordance with company policies, procedures, and regulatory requirements.
• Ensure adequate and timely claims reserving for active claims and maintain accurate claims records.
• Manage claims within statutory and internal timelines, ensuring timely assessment, decisions, and communication.
• Review claims investigated by insurance adjusters/loss adjusters and conduct further investigations on questionable or complex claims to determine policy coverage and liability.
• Assess policy liability, claim validity, supporting documentation, and potential exposures before making recommendations or decisions.
• Manage and coordinate third-party recoveries, including follow-up and documentation to maximise recovery opportunities.
• Conduct annual reviews of claims files to validate reserves, identify inactive claims, and facilitate appropriate claim closures.
• Monitor claims service providers and track KPI performance, service levels, and compliance with agreed requirements.
• Maintain strict adherence to Standard Operating Procedures (SOPs), internal controls, regulatory requirements, and claims governance standards.
• Participate in claims meetings, internal/external audits, reviews, and investigations as required.
• Maintain accurate and complete claims documentation and ensure all claim-related activities are properly recorded.
• Provide advice and communicate effectively on complex claims matters with management and relevant stakeholders.
• Collaborate with internal teams, insurance adjusters, service providers, and other stakeholders to ensure timely and effective claims resolution.
• Perform other claims-related and operational duties as assigned.

Skills

Analytical skills

Communication skills

Attention to detail

Integrity & professionalism

Independent work

Team collaboration

Education

Diploma or Degree

Job description

General Insurance Claims Executive / Claims Specialist

Key Responsibilities

• Manage day-to-day claims operations , including work processing, claims assessment, documentation, and follow-up activities.
• Review and process General Insurance claims in accordance with company policies, procedures, and regulatory requirements.
• Ensure adequate and timely claims reserving for active claims and maintain accurate claims records.
• Manage claims within statutory and internal timelines , ensuring timely assessment, decisions, and communication.
• Review claims investigated by insurance adjusters/loss adjusters and conduct further investigations on questionable or complex claims to determine policy coverage and liability.
• Assess policy liability, claim validity, supporting documentation, and potential exposures before making recommendations or decisions.
• Manage and coordinate third-party recoveries , including follow-up and documentation to maximise recovery opportunities.
• Conduct annual reviews of claims files to validate reserves, identify inactive claims, and facilitate appropriate claim closures.
• Monitor claims service providers and track KPI performance, service levels, and compliance with agreed requirements.
• Maintain strict adherence to Standard Operating Procedures (SOPs), internal controls, regulatory requirements, and claims governance standards .
• Participate in claims meetings, internal/external audits, reviews, and investigations as required.
• Maintain accurate and complete claims documentation and ensure all claim-related activities are properly recorded.
• Provide advice and communicate effectively on complex claims matters with management and relevant stakeholders.
• Collaborate with internal teams, insurance adjusters, service providers, and other stakeholders to ensure timely and effective claims resolution .
• Perform other claims-related and operational duties as assigned.

Requirements

• Diploma, Degree, or relevant professional qualification .
• 3-5 years of experience in General Insurance Claims , preferably with exposure to multiple classes of insurance.
• Comprehensive knowledge of insurance claims processes, claims assessment, policy liability, reserving, recoveries, and claims administration .
• Strong analytical, investigative, and problem-solving skills , with excellent attention to detail.
• Strong understanding of claims governance, regulatory compliance, SOPs, and audit requirements .
• Excellent communication and interpersonal skills , with the ability to communicate complex claims matters clearly to stakeholders at all management levels.
• High level of integrity, professionalism, and confidentiality .
• Ability to work independently while being an effective team player .
• Adaptable, open-minded, organised, and able to manage multiple priorities and deadlines in a fast-paced environment.