32 Healthcare Claims jobs in Malaysia

Join to apply for the Claims Examiner role at Zurich Insurance

Join to apply for the Claims Examiner role at Zurich Insurance

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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 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
  

Seniority level

• Seniority level Entry level

Employment type

• Employment type Full-time

Job function

• Job function General Business
• Industries Insurance and Financial Services

Referrals increase your chances of interviewing at Zurich Insurance by 2x

Sign in to set job alerts for “Claims Examiner” roles.

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago

Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago

Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Claims Examiner - Third Party Bodily Injury

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Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 days ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago

Assistant Manager, Claims, Property & Casualty

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago

Assistant Manager, Motor Claims (Own Damage)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 months ago

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Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Customer Service Expert (Remote, Contract) Customer Service Expert (Remote, Contract) Customer Service Expert (Remote, Contract)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago

Customer Service Expert (Remote, Contract)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago

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Select how often (in days) to receive an alert: 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.

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Join to apply for the

Claims Examiner

role at

Zurich Insurance Join to apply for the

Claims Examiner

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

Seniority level

Seniority level Entry level Employment type

Employment type Full-time Job function

Job function General Business Industries Insurance and Financial Services Referrals increase your chances of interviewing at Zurich Insurance by 2x Sign in to set job alerts for “Claims Examiner” roles.

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Federal Territory of Kuala Lumpur, Malaysia 1 week ago Claims Examiner - Third Party Bodily Injury

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 months ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 hours ago Content Moderator - Listing & Content, MY Marketplace

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Medical Claims Analyst (1 year contract)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Senior Executive, Claims Adjudicator (24/7 Cashless Administration)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Major Claims Specialist (Death, Critical Illness and/or TPD)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Assistant Manager, Claims, Property & Casualty

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 month ago Assistant Manager, Motor Claims (Own Damage)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 months ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Federal Territory of Kuala Lumpur, Malaysia 1 week ago Customer Service Expert (Remote, Contract)

Customer Service Expert (Remote, Contract)

Customer Service Expert (Remote, Contract)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Customer Service Expert (Remote, Contract)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

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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.

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.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• General Business, Finance, and Other

Industries

• 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

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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. 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. Seniority level

Mid-Senior level Employment type

Full-time Job function

General Business, Finance, and Other Industries

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

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ABOUT US

‘First’ is more than our name, it’s our nature. Cayman First is an industry-leading Property & Casualty and Health insurer, delivering best-in-class products and services to respond to the changing needs of individuals, households and businesses. Through our carefully selected network of agents and brokers, we provide protection for our customers today and prepare them for a brighter tomorrow. Cayman First maintains an A- (Excellent) financial strength rating from global credit rating agency AM Best.

PURPOSE OF JOB

As a Claims Examiner for our Property and Casualty division, you will be responsible for collecting and verifying claim information, maintaining accurate records, and updating claims files in the Claims Management Software. You will assist with various claim types, handle client inquiries, and ensure high levels of customer service. Additional responsibilities include reviewing claims with claimants, authorizing repairs, liaising with external agencies, and supporting the efficient operation of the First Response Unit.

This is a great opportunity for someone with a passion for customer service, who would like to work in the insurance industry. Here at Cayman First Insurance, we offer a supportive environment that encourages collaboration fosters professional growth.

JOB RESPONSIBILITIES

• Collect and record accurate information and documents from walk-in, electronic, or virtual clients, forwarding them to the Claims Manager for review and assignment.
• Maintain the New Claims Register and ensure motor claims are properly registered.
• Contact agencies to verify coverage details and submit findings to the relevant Adjuster or Claims Manager.
• Review and update claims files in the Claims Management Software, ensuring they remain accurate and up to date.
• Assist with various claim types, including subrogation, marine claims, non-motor claims, and inspections of damaged vehicles, as instructed.
• Handle telephone calls, emails, and correspondence regarding general inquiries, customer complaints, or communications with other insurance companies, ensuring a high level of customer service.
• Review claims with claimants, discuss settlements, and authorize vehicle repairs as directed.
• Liaise with police authorities and maintain an effective follow-up and diary management system for claims.
• Vet customer complaints and work with the Claims Manager to ensure timely resolution.
• Render assistance to ensure the efficient operation of the First Response Unit and complete other duties as assigned.
• Complete additional duties as assigned by management.

• High School Diploma or relevant Associates Degree.
• Possess a minimum of three years’ experience in the insurance industry.
• Analyze and adjudicate claims in accordance with contract provisions and standard business practices.
• Manage time and workload effectively to meet productivity targets and deadlines with minimal supervision.
• Apply strong analytical skills and attention to detail when reviewing claim information and documentation.
• Actively pursue an Insurance Certificate such as CII or equivalent professional qualification.
• Communicate effectively through clear written, verbal, and listening skills.
• Build and maintain positive working relationships through strong interpersonal abilities.
• Deliver excellent customer service by addressing inquiries and resolving issues professionally.

Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.

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Job Summary

Engage proactively in projects to improve processing efficiency and enhance system functionalities. Additionally, process Non-motor claims, including Property, Marine Hull, Marine Cargo, Personal Accident (PA), Liability, and Health & Safety (H&S).

Responsibilities

1. Identify and propose enhancements for processing and system functionalities of Non-motor Claims to ensure effective claims processing.
2. Collaborate with IT, vendors, and end-users across departments to define requirements, testing scopes, and execute user acceptance tests for system enhancements.
3. Evaluate, process, and manage insurance claims to ensure accuracy, policy adherence, and timely resolution, including:
1. Claim review: Analyze claims for coverage eligibility, policy terms, and deductibles.
2. Documentation: Gather and review claim documents such as incident reports, medical records, and evidence.
3. Coverage determination: Assess policy coverage scope and limitations.
4. Adjudication: Make final decisions on claim settlements based on policy and investigation results.
5. Negotiation: Settle claims through negotiations with claimants and stakeholders.
6. Communication: Update claimants, policyholders, and agents on claim status and inquiries.
7. Fraud detection: Identify and flag potentially fraudulent claims.
8. Customer service: Provide quality support and guidance throughout the claims process.
4. Monitor outstanding claims files and ensure proper management by service providers such as adjusters, surveyors, and lawyers.
5. Address claims-related queries and discussions with customers, agents, brokers, sales, and other stakeholders.
6. Provide claims insights to support business acquisition and product development, and conduct claims training for stakeholders as needed.

Qualifications

• Bachelor’s Degree or equivalent in any related field.
• Fresh graduates are welcome to apply.
• Experience in system enhancement projects within financial institutions is advantageous.
• Experience in claim processing is advantageous.
• Ability to work independently and as part of a team.
• Good communication skills.
• Ability to leverage AI tools like ChatGPT for data analysis and insights.

Disclaimer

Thank you for your interest. Due to high application volume, we cannot provide individual feedback. If you do not hear from us within 14 days, please assume you have not been selected. All updates will be communicated via email. Allianz does not accept unsolicited resumes from external sources except directly from candidates. We are committed to diversity and inclusion in our workforce.

Join Us

We believe in a diverse, inclusive environment where everyone can grow and contribute. Together, let's build a better future for our customers and the world.

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Job Summary

Engage proactively in projects to improve processing efficiency and enhance system functionalities. Additionally, process Non-motor claims, including Property, Marine Hull, Marine Cargo, Personal Accident (PA), Liability, and Health & Safety (H&S).

You'll be responsible for:

• Identifying and proposing enhancements for both processing and system functionalities of Non-motor Claims in the endeavor of ensuring an effective claims processing
• Collaborate with IT, vendors, and end-users from various departments to define requirements, testing scopes, and execute user acceptance tests for system enhancements.
• Evaluating, processing, and managing insurance claims to ensure accuracy, adherence to policy terms, and timely resolution. Key responsibilities include:
  • Claim Review: Analyzing claims to determine coverage eligibility, policy terms, and applicable deductibles.
  • Documentation: Gathering and reviewing claim documentation, such as incident reports, medical records, photographs, and other evidence.
  • Coverage Determination: Assessing policy coverage to determine whether the claim falls within the scope of the policy and its limitations.
  • Adjudication: Making final decisions on claim settlements and payments based on policy terms, investigation results, and legal considerations.
  • Negotiation: Engaging in negotiations with claimants, policyholders, and other relevant parties to settle claims and address any disputes.
  • Communication: Effectively communicating with claimants, policyholders, agents, and legal representatives to provide updates on claim status, request additional information, and address inquiries.
  • Fraud Detection: Identifying and flagging potentially fraudulent claims and working with investigative teams to mitigate fraud risk.
  • Customer Service: Providing high-quality customer service by addressing claimants' concerns, answering questions, and guiding them through the claims process.
• Monitor outstanding claims files, ensure proper claims management by service providers i.e. Adjuster, Surveyors, Lawyers etc.
• Attend to claims related queries and discussions with customers, agents, brokers, sales and any other stakeholders.
• Offer insights from claims perspective to support business acquisition and product development efforts and conduct necessary claims training for relevant stakeholders whenever required.

Important to your success:

• Bachelors’ Degree or equivalent, in any related field.
• Fresh graduates are welcome to apply.
• Possessing working experience in system enhancement projects in financial institutions will be advantageous.
• Possessing working experience in claim processing will be advantageous.
• Able to work independently and as a team player.
• Good communication skills.
• Ability to leverage AI tools like ChatGPT for data analysis and generating actionable insights.

Disclaimer Thank you for your interest in joining our team. Due to the high volume of applications we receive, we are unable to provide individual feedback to every applicant. If you do not hear from us within 14 days of submitting your application, please assume that you have not been selected for this position.

Important: All updates regarding your application status will be communicated via email. Please ensure you frequently check your email for updates and further instructions.

Note: Allianz will not accept any forward unsolicited resumes from any source to our employees email other than directly from a candidate. We will not be responsible for any fees and charges impose.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.
Great to have you on board. Let's care for tomorrow.

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Chubb Federal Territory of Kuala Lumpur, Malaysia

Overview

Senior Claims Examiner role focusing on Financial Lines claims, including but not limited to Directors’ & Officers’ Liability, Professional Indemnity, Employment Practices Liability, Bankers Blanket Bonds / Financial Institutions Professional Liability, Medical Malpractice, Cyber claims, and all ancillary tasks such as updating claims management systems, internal reporting, and training relevant to the role. The candidate must also be able to manage and handle all types of Liability Claims including Casualty Claims.

Responsibilities

• Direct, monitor, assess and handle Financial Lines claims in accordance with local and regional processes and claim handling procedures, ensuring quality claim service for internal and external stakeholders.
• Effectively manage Financial Lines claims underwritten and reported in Malaysia (D&O, EPL, PI, Medmal, Cyber) against policy terms, guidelines and procedures.
• Collaborate with claims technical supervisors regionally to prepare high-quality claims referrals for accurate handling decisions.
• Ensure proper and timely reserving within established standards.
• Collate claims information and data for internal and external reporting, verifying completeness and accuracy of reports.
• Attend to claim inquiries and feedback; maintain relationships with underwriters, actuaries, brokers/agents and service providers.
• Recommend and/or settle claims per policy; brief Head of Claims on ex-gratia requests.
• Provide fast, efficient and courteous claims service within customer service guidelines.
• Collaborate with internal colleagues to manage accounts and contribute to product development and loss control discussions.
• Ensure timely awareness of large losses and trends to inform underwriting decisions.
• Supervise claims to finality within designated authority and in line with guidelines and best practices.
• Set, review and maintain loss reserves in accordance with guidelines.
• Provide timely updates of claims data and ensure accuracy of system entries and file records.
• Document and collate Financial Lines claims processes and controls.
• Engage external resources and service providers as required, managing them to ensure timely resolution of Financial Lines claims.
• Identify opportunities to improve productivity and modify procedures as appropriate.
• This role may develop to include additional tasks commensurate with the employee’s abilities.

Qualifications

• Excellent written and verbal communication skills in English and Bahasa Melayu
• High attention to detail and strong analytical skills
• Effective negotiation and interpersonal skills; ability to collaborate with all internal and external stakeholders
• Proactive and flexible approach to work
• Approachable and friendly attitude
• Ability to work autonomously, initiative to find solutions, prioritize tasks and exercise discretion
• Excellent organizational and administration skills
• Willingness to continuously learn and improve technical skills
• Technical competence with Microsoft Office (Outlook, Word, Excel and PowerPoint)

Education & Experience

• Diploma or Bachelor's degree or equivalent in Law or Legal Studies preferred.
• 2 years or more of experience in Financial Lines and/or Liability claims handling.
• Added experience in legal practice is an advantage.

Additional Information

• Seniority level: Not Applicable
• Employment type: Full-time
• Industry: Insurance

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