35 Healthcare Claims jobs in Malaysia

Job Summary

With moderate direction, handles single and multi-party personal or commercial line claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Job Accountabilities - Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information.
• Determine liability by gathering and analyzing relevant facts.
• Analyse and determine policy coverage.
• Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
• Assess damages.
• Negotiate settlement of claim by establishing an appropriate negotiation strategy.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information, responding to inquiries, following customer protocol aligned to the organization's Claims Vendor Management strategy.
• Ensure legal compliance by following laws and regulations and internal control requirements.
• Refer claim to subrogation and fraud teams.
• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
• Protect Zurich's reputation by keeping claims information confidential.
• Understand the current with industry trends and establish personal networks and participate in professional societies.

Job Qualifications

Required:

• A diploma or degree in insurance, business, law, or a related field is preferred

Preferred:

• Strong analytical and decision-making skills
• High attention to detail and accuracy in documentation
• Effective communication and negotiation abilities
• Ability to manage multiple claims and meet deadlines.
• Customer-centric mindset with empathy and professionalism.

You are the heart & soul of Zurich

At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?

We highly value the experience and know-how of our employees and offer a wide range of opportunities across business areas to encourage you to apply for new opportunities within Zurich when you are ready for your next career step.

Let's continue to grow together

• Location(s): MY - Kuala Lumpur
• Schedule: Full Time
• Recruiter name: Eilma Fatehah Sabri

Overview

Position Overview: We are seeking a detail-oriented and experienced Third-Party Bodily Injury Claims Specialist to join our team. The ideal candidate will be responsible for managing and resolving third-party bodily injury claims with a focus on delivering exceptional service while ensuring compliance with company policies and legal requirements.

• Claims Management: Investigate, evaluate, and settle third-party bodily injury claims in a timely and efficient manner. This includes gathering relevant information and analyzing medical reports and other documentation.
• Negotiation: Negotiate settlements with claimants, legal representatives, and other stakeholders to resolve claims effectively. Ensure that settlement offers are fair, within company guidelines, and legally sound.
• Compliance: Ensure that all claims processes adhere to company policies, industry standards, and legal regulations. Stay updated on changes in laws and regulations affecting bodily injury claims.
• Continuous Improvement: Identify opportunities and contribute to the development of best practices in claims management.

• Education: Bachelor’s degree in Law, Insurance, or a related field.
• Experience: Minimum of 2 years of experience handling third-party bodily injury claims, preferably in an insurance or legal environment.
• Skills:

• Strong analytical and investigative skills with attention to detail.
• Excellent negotiation and communication skills.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to manage multiple claims and priorities effectively.

• Knowledge:

• In-depth understanding of bodily injury claims processes and relevant legal concepts.
• Familiarity with medical terminology and injury assessment.

• Seniority level: Entry level
• Employment type: Full-time
• Job function: General Business
• Industries: Insurance and Financial Services

Overview

Get AI-powered advice on this job and more exclusive features.

Berkshire Hathaway Specialty Insurance (BHSI) is a strategic and trusted insurance partner providing a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world?

Learn more about our unique culture and history.

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a claims professional with experience in marine (ocean/inland) and logistics insurance. The role will be based in our Kuala Lumpur office but will involve working closely with our team members in Asia, the Middle East, Australia and New Zealand.

• Managing a portfolio of marine and logistics claims.
• Undertaking an investigation of each claim - including assessing policy coverage, claims reserving and identifying recovery opportunities where possible.
• Provide high levels of customer service with clear communication to insureds and brokers with a proactive approach to achieving strong results for insureds.
• Appoint and liaise with third party providers including surveyors, adjusters and law firms when required.
• Work closely with underwriters, actuaries, and other areas of the business to report on claim developments and trends, and support the delivery of BHSI’s plans, goals and objectives.

• Minimum 2-3 years claims experience in marine claims management.
• Strong customer service and interpersonal skills.
• Ability to work both autonomously and in a team environment.
• Strong English language skills – both written and verbal.
• Strong time management and organizational skills, and the ability to manage a high volume of frequency claims.

• A competitive package and exciting growth opportunities for career-oriented teammates.
• A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.
• A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.

NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.

• Mid-Senior level

• Full-time

• General Business, Finance, and Other

• Insurance, Insurance Agencies and Brokerages, and Insurance Carriers

Referrals increase your chances of interviewing at Berkshire Hathaway Specialty Insurance.

Get notified about new Claims Examiner jobs in Greater Kuala Lumpur .

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia

Claims Examiner - TPBI

Position Overview : We are seeking a detail-oriented and experienced Third-Party Bodily Injury Claims Specialist to join our team. The ideal candidate will be responsible for managing and resolving third-party bodily injury claims with a focus on delivering exceptional service while ensuring compliance with company policies and legal requirements.

Key Responsibilities:

• Claims Management: Investigate, evaluate, and settle third-party bodily injury claims in a timely and efficient manner. This includes gathering relevant information and analyzing medical reports and other documentation.
• Negotiation: Negotiate settlements with claimants, legal representatives, and other stakeholders to resolve claims effectively. Ensure that settlement offers are fair, within company guidelines, and legally sound.
• Compliance: Ensure that all claims processes adhere to company policies, industry standards, and legal regulations. Stay updated on changes in laws and regulations affecting bodily injury claims.
• Continuous Improvement: Identify opportunities and contribute to the development of best practices in claims management.

Qualifications:

• Education: Bachelor’s degree in Law, Insurance, or a related field.
• Experience: Minimum of 2 years of experience handling third-party bodily injury claims, preferably in an insurance or legal environment.
• Skills:
• Strong analytical and investigative skills with attention to detail.
• Excellent negotiation and communication skills.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to manage multiple claims and priorities effectively.
• Knowledge:
• In-depth understanding of bodily injury claims processes and relevant legal concepts.
• Familiarity with medical terminology and injury assessment.

Who are we?

A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway's insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world?

Learn more about our unique culture and history
.

Job Opportunity:

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a claims professional with experience in marine (ocean/inland) and logistics insurance. The role will be based in our Kuala Lumpur office but will involve working closely with our team members in Asia, the Middle East, Australia and New Zealand.

Duties & Responsibilities:

• Managing a portfolio of marine and logistics claims.
• Undertaking an investigation of each claim - including assessing policy coverage, claims reserving and identifying recovery opportunities where possible.
• Provide high levels of customer service with clear communication to insureds and brokers with a proactive approach to achieving strong results for insureds.
• Appoint and liaise with third party providers including surveyors, adjusters and law firms when required.
• Work closely with underwriters, actuaries, and other areas of the business to report on claim developments and trends, and support the delivery of BHSI's plans, goals and objectives.

Qualifications, Skills and Experience:

• Minimum 2-3 years claims experience in marine claims management.
• Strong customer service and interpersonal skills.
• Ability to work both autonomously and in a team environment.
• Strong English language skills – both written and verbal.
• Strong time management and organizational skills, and the ability to manage a high volume of frequency claims.

BHSI Offers:

• A competitive package and exciting growth opportunities for career-oriented teammates.
• A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.
• A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.

NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.

Who are we?

A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway's insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty and specialty lines insurance company in the world?

Job Opportunity:

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a claims professional with experience in marine (ocean/inland) and logistics insurance. The role will be based in our Kuala Lumpur office but will involve working closely with our team members in Asia, the Middle East, Australia and New Zealand.

Duties & Responsibilities:

• Managing a portfolio of marine and logistics claims.
• Undertaking an investigation of each claim - including assessing policy coverage, claims reserving and identifying recovery opportunities where possible.
• Provide high levels of customer service with clear communication to insureds and brokers with a proactive approach to achieving strong results for insureds.
• Appoint and liaise with third party providers including surveyors, adjusters and law firms when required.
• Work closely with underwriters, actuaries, and other areas of the business to report on claim developments and trends, and support the delivery of BHSI's plans, goals and objectives.

Qualifications, Skills and Experience:

• Minimum 2-3 years claims experience in marine claims management.
• Strong customer service and interpersonal skills.
• Ability to work both autonomously and in a team environment.
• Strong English language skills – both written and verbal.
• Strong time management and organizational skills, and the ability to manage a high volume of frequency claims.

BHSI Offers:

• A competitive package and exciting growth opportunities for career-oriented teammates.
• A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.
• A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.

NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization.

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