49 Insurance Claims jobs in Malaysia

Job Summary

To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Job Qualifications Required:
• Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR
• Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.

OR
• Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.

OR
• Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR
• High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.

AND
• Must obtain and maintain required adjuster license(s)
• Microsoft Office experience
• Knowledge of insurance regulations, markets and products

Preferred:
• Effective verbal and written communication skills
• Strong analytical, critical thinking and problem-solving skills
• Strong multi-tasking and prioritization skills
• Experience collaborating in a team environment and building cross functional working relationships
• Proactively shares and promotes sharing of insights
• Ability to gather unique perspectives from other teams/functions to optimize outcomes.
• Understands, analyzes, and applies the component parts of an insurance policy for complex claims
• Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
• Ability to determine the scope and exposure for complex claims
• Ability to leverage trend and relationships to provide high-quality customer service
• Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
• Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
• Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies

Job Accountabilities - Key Accountabilities
• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity.
• Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
• Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the 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 claims cycle within authority limit by estimating and validating value of claims.
• Assess damages by calculating applicable damages or range of damages allowed by law.
• Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
• Meet quality standards by following best practices

Job Functions
• May participate in customer marketing efforts.
Business Accountabilities
• Lead a team of claims handling specialists to develop and implement business processes and manage performance across all activities in order to achieve business objectives and continuously improve performance.
• Translate business objectives into clearly defined business cases, costs or schedules in order to support the achievement of claims.
• Monitor and control allocated human and material resources assigned to project work, maintaining financial and progress forecasting in order to ensure projects are delivered according to schedule and within budget.
• Supervise and quality-assure the drafting of key claims handling policy documents to ensure full compliance to the organization's rules and regulations governing transactions.
• Oversee compliance with claims policies, procedures, systems and processes across multiple countries/Line of Business to protect the organization's interests.
• Analyze key themes from a wide range of data sources in order to identify trends and areas for business improvement providing potential solutions.
• Contribute to the development of process and lead the implementation of systems and process improvements in claims handling.
• Provide technical guidance and recommendations as a subject matter expert in order to support the resolution of the most complex customer cases and develop precedents to improve customer service.
• Manage key internal and external stakeholder relationships across the organization in order to ensure colleagues are informed on relevant issues.
• Act as a technical expert for own team and internal customers and maintains up to date knowledge of own area of expertise so that operational claims team can best serve customers.

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
• Remote working:
• Schedule: Full Time
• Recruiter name: Marina Destiana
• Closing date:

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Senior Claims Specialist

88950

Job Summary

To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Job Qualifications

Required:
• Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR
• Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.

OR
• Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.

OR
• Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR
• High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.

AND
• Must obtain and maintain required adjuster license(s)
• Microsoft Office experience
• Knowledge of insurance regulations, markets and products

Preferred:
• Effective verbal and written communication skills
• Strong analytical, critical thinking and problem-solving skills
• Strong multi-tasking and prioritization skills
• Experience collaborating in a team environment and building cross functional working relationships
• Proactively shares and promotes sharing of insights
• Ability to gather unique perspectives from other teams/functions to optimize outcomes.
• Understands, analyzes, and applies the component parts of an insurance policy for complex claims
• Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
• Ability to determine the scope and exposure for complex claims
• Ability to leverage trend and relationships to provide high-quality customer service
• Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
• Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
• Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies

Job Accountabilities - Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity.
• Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
• Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the 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 claims cycle within authority limit by estimating and validating value of claims.
• Assess damages by calculating applicable damages or range of damages allowed by law.
• Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
• Meet quality standards by following best practices

Job Functions

• May participate in customer marketing efforts.

Business Accountabilities

• Lead a team of claims handling specialists to develop and implement business processes and manage performance across all activities in order to achieve business objectives and continuously improve performance.
• Translate business objectives into clearly defined business cases, costs or schedules in order to support the achievement of claims.
• Monitor and control allocated human and material resources assigned to project work, maintaining financial and progress forecasting in order to ensure projects are delivered according to schedule and within budget.
• Supervise and quality-assure the drafting of key claims handling policy documents to ensure full compliance to the organization's rules and regulations governing transactions.
• Oversee compliance with claims policies, procedures, systems and processes across multiple countries/Line of Business to protect the organization's interests.
• Analyze key themes from a wide range of data sources in order to identify trends and areas for business improvement providing potential solutions.
• Contribute to the development of process and lead the implementation of systems and process improvements in claims handling.
• Provide technical guidance and recommendations as a subject matter expert in order to support the resolution of the most complex customer cases and develop precedents to improve customer service.
• Manage key internal and external stakeholder relationships across the organization in order to ensure colleagues are informed on relevant issues.
• Act as a technical expert for own team and internal customers and maintains up to date knowledge of own area of expertise so that operational claims team can best serve customers.

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.

#J-18808-Ljbffr

Join to apply for the Motor Claims Specialist role at Allianz Services

5 days ago Be among the first 25 applicants

Join to apply for the Motor Claims Specialist role at Allianz Services

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

Allianz Services is part of Allianz Group, one of the world's leading insurers and asset managers and has succeeded in becoming one individual business segment by combining various businesses from different parent companies. Allianz Services is running service delivery operations in Romania, India, Mauritius and Morocco as well as is operating Consulting hubs in Germany, USA, Italy, France and Singapore with almost 6000 colleagues globally.

Job Description

The motor claim specialist – own damage will be part of the claims team and plays a pivotal role in managing all motor claim related to own damage motor claims for Allianz entities. The incumbent will be supporting Allianz entities in managing the entire process of own damage claims within the motor claims function, supporting sustainable growth and profitability for the company.

Objectives & Key Performance Indicators

• Collaborate with Distribution, Product, Underwriting and other internal stakeholders to ensure alignment of coverage, policy intent and wordings.
• Attain annual claims savings and loss ratio target set by entities.
• Effective claims management skills, including compliance to protocols/operating procedures, reserving and managing panel of service providers.
• Maintain good turn-around-time and claims service level standards to ensure customer claims experience are met.
  
  

Key Responsibilities

• Claims management: Conduct thorough investigations, assessing liabilities and collaborating with legal professionals where necessary. Effective claim management skills to ensure healthy loss ratio.
• Documentation and reporting: Conduct regular reviews and analysis of claim trends and performance metrics, identifying areas for improvements and implementing corrective actions.
• Negotiation and settlement: Serve as a point of contact for escalated claim issues, working to resolve disputes and negotiate settlements effectively.
• Communication and coordination: Collaborate with external stakeholders including customers, distributors, legal professionals, repair workshops and motor surveyors and investigators to facilitate smooth and fair claim settlements. Collaborate with internal stakeholders including product, underwriting and distribution stakeholders to ensure alignment of coverage, policy intent and wordings.
• Continuous improvement: Enhance claim handling processes and contribute to the continuous improvement of claims management protocols by staying updated with industry trends, legal changes, and best practices.
• Customer experience: Maintain good turn-around-time and claims service level standards to ensure that customers’ claims experience is duly met.
  
  

Qualifications And Skills –

• Recognized degree or diploma
• Certification in Basic Insurance Concepts and Principles (BCP), Personal General Insurance (PGI) and Commercial General Insurance (ComGl) with Singapore College of Insurance
• Minimum 7 years of experience in Motor claims handling with a focus on third party claims within the Malaysia or Singapore insurance market.
• Good knowledge of Microsoft Office software and any other technology applications
• Strong knowledge of motor insurance policies, regulations, and industry practices in Malaysia and Singapore.
• Excellent analytical, negotiation, and communication skills.
• Meticulous, analytical, problem solving and organized.
• Open-minded, proactive, receptive to new ideas and cope well with changes and pressure.
  
  

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.

Seniority level

• Seniority level Mid-Senior level

Employment type

• Employment type Full-time

Job function

• Job function Finance and Sales
• Industries Financial Services and Insurance

Referrals increase your chances of interviewing at Allianz Services by 2x

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

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

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Reinsurance or Marine Claims Adjuster / Claims Executive Claims Examiner - Third Party Bodily Injury

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Federal Territory of Kuala Lumpur, Malaysia 1 week ago

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Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago

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Non-Medical Claims (Personal Accident), Analyst

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

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago

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

Medical Claims Analyst (1 year contract)

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

Claims Process & Quality Assurance Analyst

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Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago

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

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

Non-Medical Claims, Specialist/Assistant Manager (Major Claims)

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

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

Financial Accountant (Claim and Reservation) Operations Specialist - General Insurance Claims

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

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

Unit Head, Fast Track & Co/RI Claims(Fire/Eng/Misc/Marine)

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

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88950 Job Summary

To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Job Qualifications

Required: • Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR • Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.

OR • Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.

OR • Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR • High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.

AND • Must obtain and maintain required adjuster license(s) • Microsoft Office experience • Knowledge of insurance regulations, markets and products

Preferred: • Effective verbal and written communication skills • Strong analytical, critical thinking and problem-solving skills • Strong multi-tasking and prioritization skills • Experience collaborating in a team environment and building cross functional working relationships • Proactively shares and promotes sharing of insights • Ability to gather unique perspectives from other teams/functions to optimize outcomes. • Understands, analyzes, and applies the component parts of an insurance policy for complex claims • Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims • Ability to determine the scope and exposure for complex claims • Ability to leverage trend and relationships to provide high-quality customer service • Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts. • Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims • Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies

Job Accountabilities - Key Accountabilities • Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity. • Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence. • Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the 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 claims cycle within authority limit by estimating and validating value of claims. • Assess damages by calculating applicable damages or range of damages allowed by law. • Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits. • Meet quality standards by following best practices

Job Functions • May participate in customer marketing efforts.

Business Accountabilities • Lead a team of claims handling specialists to develop and implement business processes and manage performance across all activities in order to achieve business objectives and continuously improve performance. • Translate business objectives into clearly defined business cases, costs or schedules in order to support the achievement of claims. • Monitor and control allocated human and material resources assigned to project work, maintaining financial and progress forecasting in order to ensure projects are delivered according to schedule and within budget. • Supervise and quality-assure the drafting of key claims handling policy documents to ensure full compliance to the organization's rules and regulations governing transactions. • Oversee compliance with claims policies, procedures, systems and processes across multiple countries/Line of Business to protect the organization's interests. • Analyze key themes from a wide range of data sources in order to identify trends and areas for business improvement providing potential solutions. • Contribute to the development of process and lead the implementation of systems and process improvements in claims handling. • Provide technical guidance and recommendations as a subject matter expert in order to support the resolution of the most complex customer cases and develop precedents to improve customer service. • Manage key internal and external stakeholder relationships across the organization in order to ensure colleagues are informed on relevant issues. • Act as a technical expert for own team and internal customers and maintains up to date knowledge of own area of expertise so that operational claims team can best serve customers.

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.

#J-18808-Ljbffr

Join to apply for the

Motor Claims Specialist

role at

Allianz Services 5 days ago Be among the first 25 applicants Join to apply for the

Motor Claims Specialist

role at

Allianz Services Get AI-powered advice on this job and more exclusive features. Allianz Services is part of Allianz Group, one of the world's leading insurers and asset managers and has succeeded in becoming one individual business segment by combining various businesses from different parent companies. Allianz Services is running service delivery operations in Romania, India, Mauritius and Morocco as well as is operating Consulting hubs in Germany, USA, Italy, France and Singapore with almost 6000 colleagues globally.

Job Description

The motor claim specialist – own damage will be part of the claims team and plays a pivotal role in managing all motor claim related to own damage motor claims for Allianz entities. The incumbent will be supporting Allianz entities in managing the entire process of own damage claims within the motor claims function, supporting sustainable growth and profitability for the company.

Objectives & Key Performance Indicators

Collaborate with Distribution, Product, Underwriting and other internal stakeholders to ensure alignment of coverage, policy intent and wordings. Attain annual claims savings and loss ratio target set by entities. Effective claims management skills, including compliance to protocols/operating procedures, reserving and managing panel of service providers. Maintain good turn-around-time and claims service level standards to ensure customer claims experience are met.

Key Responsibilities

Claims management: Conduct thorough investigations, assessing liabilities and collaborating with legal professionals where necessary. Effective claim management skills to ensure healthy loss ratio. Documentation and reporting: Conduct regular reviews and analysis of claim trends and performance metrics, identifying areas for improvements and implementing corrective actions. Negotiation and settlement: Serve as a point of contact for escalated claim issues, working to resolve disputes and negotiate settlements effectively. Communication and coordination: Collaborate with external stakeholders including customers, distributors, legal professionals, repair workshops and motor surveyors and investigators to facilitate smooth and fair claim settlements. Collaborate with internal stakeholders including product, underwriting and distribution stakeholders to ensure alignment of coverage, policy intent and wordings. Continuous improvement: Enhance claim handling processes and contribute to the continuous improvement of claims management protocols by staying updated with industry trends, legal changes, and best practices. Customer experience: Maintain good turn-around-time and claims service level standards to ensure that customers’ claims experience is duly met.

Qualifications And Skills –

Recognized degree or diploma Certification in Basic Insurance Concepts and Principles (BCP), Personal General Insurance (PGI) and Commercial General Insurance (ComGl) with Singapore College of Insurance Minimum 7 years of experience in Motor claims handling with a focus on third party claims within the Malaysia or Singapore insurance market. Good knowledge of Microsoft Office software and any other technology applications Strong knowledge of motor insurance policies, regulations, and industry practices in Malaysia and Singapore. Excellent analytical, negotiation, and communication skills. Meticulous, analytical, problem solving and organized. Open-minded, proactive, receptive to new ideas and cope well with changes and pressure.

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. Seniority level

Seniority level Mid-Senior level Employment type

Employment type Full-time Job function

Job function Finance and Sales Industries Financial Services and Insurance Referrals increase your chances of interviewing at Allianz Services by 2x Sign in to set job alerts for “Claims Specialist” roles.

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kota Damansara, Selangor, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Executive, Claims Adjudicator (24/7 Cashless Administration)

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 2 hours ago Reinsurance or Marine Claims Adjuster / Claims Executive

Claims Examiner - Third Party Bodily Injury

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Federal Territory of Kuala Lumpur, Malaysia 1 week ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Non-Medical Claims (Personal Accident), Analyst

WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 4 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Medical Claims Analyst (1 year contract)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Claims Process & Quality Assurance Analyst

Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 day ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 3 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Non-Medical Claims, Specialist/Assistant Manager (Major Claims)

WP. Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days ago Financial Accountant (Claim and Reservation)

Operations Specialist - General Insurance Claims

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 2 weeks ago Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 1 week ago Unit Head, Fast Track & Co/RI Claims(Fire/Eng/Misc/Marine)

Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia 5 days 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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Job Summary To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Job Qualifications Required: • Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR • Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.

OR • Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.

OR • Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR • High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.

AND • Must obtain and maintain required adjuster license(s) • Microsoft Office experience • Knowledge of insurance regulations, markets and products

Preferred: • Effective verbal and written communication skills • Strong analytical, critical thinking and problem-solving skills • Strong multi-tasking and prioritization skills • Experience collaborating in a team environment and building cross functional working relationships • Proactively shares and promotes sharing of insights • Ability to gather unique perspectives from other teams/functions to optimize outcomes. • Understands, analyzes, and applies the component parts of an insurance policy for complex claims • Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims • Ability to determine the scope and exposure for complex claims • Ability to leverage trend and relationships to provide high-quality customer service • Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts. • Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims • Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies

Job Accountabilities - Key Accountabilities • Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity. • Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence. • Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the 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 claims cycle within authority limit by estimating and validating value of claims. • Assess damages by calculating applicable damages or range of damages allowed by law. • Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits. • Meet quality standards by following best practices

Job Functions • May participate in customer marketing efforts. Business Accountabilities • Lead a team of claims handling specialists to develop and implement business processes and manage performance across all activities in order to achieve business objectives and continuously improve performance. • Translate business objectives into clearly defined business cases, costs or schedules in order to support the achievement of claims. • Monitor and control allocated human and material resources assigned to project work, maintaining financial and progress forecasting in order to ensure projects are delivered according to schedule and within budget. • Supervise and quality-assure the drafting of key claims handling policy documents to ensure full compliance to the organization's rules and regulations governing transactions. • Oversee compliance with claims policies, procedures, systems and processes across multiple countries/Line of Business to protect the organization's interests. • Analyze key themes from a wide range of data sources in order to identify trends and areas for business improvement providing potential solutions. • Contribute to the development of process and lead the implementation of systems and process improvements in claims handling. • Provide technical guidance and recommendations as a subject matter expert in order to support the resolution of the most complex customer cases and develop precedents to improve customer service. • Manage key internal and external stakeholder relationships across the organization in order to ensure colleagues are informed on relevant issues. • Act as a technical expert for own team and internal customers and maintains up to date knowledge of own area of expertise so that operational claims team can best serve customers.

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 Remote working: Schedule: Full Time Recruiter name: Marina Destiana Closing date:

#J-18808-Ljbffr

Join to apply for the Senior Claims Specialist, Marine role at Allianz Services

5 days ago Be among the first 25 applicants

Join to apply for the Senior Claims Specialist, Marine role at Allianz Services

Allianz Services is part of Allianz Group, one of the world's leading insurers and asset managers and has succeeded in becoming one individual business segment by combining various businesses from different parent companies. Allianz Services is running service delivery operations in Romania, India, Mauritius and Morocco as well as is operating Consulting hubs in Germany, USA, Italy, France and Singapore with almost 6000 colleagues globally.

Senior Claims Specialist (Non-Motor) - Marine

Your role will be vital in supporting Allianz entities, as a Claims Officer specializing in Marine and Freight Forwarder Liability lines, the successful candidate will oversee and process claims in these specialized areas, ensuring efficient handling and compliance with company policies and regulatory standards. This role is vital in maintaining customer satisfaction and enhancing the company's reputation for excellence in claims management.

Key Performance Indicators

• Collaborate with Product, Underwriting, and other internal stakeholders to ensure alignment of coverage, policy intent, and wordings.
• Achieve the annual claims savings targets set by the Head of Department
• Demonstrate effective claims management skills, including adherence to protocols, reserving practices, and managing a panel of service providers.
• Maintain excellent turnaround times and claims service standards to meet customer expectations.
  
  

Responsibilities

Claims Management:

• Maintain accurate claim records.
• Handle claims to completion within designated Settlement Authority and Company Guidelines, ensuring timely actions, appropriate investigations, regular case reviews, and proper evaluations.
• Conduct thorough investigations to assess claim validity and extent.
• Appoint appropriate and independent surveyors, investigators, lawyers, and other providers to manage claims.
• Communicate with claimants, intermediaries, and stakeholders to gather necessary documentation and information.
• Establish and maintain loss reserves following company SOPs, with timely updates to claims data, ensuring accuracy in both system and file records.
• Negotiate efficient and competitive settlements.
• Settle unpursued claims according to settlement guidelines.
• Maximize recoveries from salvage dispositions, subrogation, or other recovery proceedings through close monitoring.
• Provide timely advice, relevant supporting documents, and responses to inquiries to coinsurers/reinsurers for prompt settlement of their share.
  
  

Analysis and Decision-Making:

• Analyze claims data to identify trends and recommend improvements in claims handling processes.
• Make informed settlement decisions, negotiating as necessary to ensure fair outcomes for both the company and claimants.
  
  

Customer Service:

• Deliver exceptional customer service by effectively communicating with claimants and stakeholders, promptly addressing inquiries, and resolving issues.
• Build and maintain strong relationships with clients and intermediaries to facilitate smooth claims processing.
  
  

Compliance and Reporting:

• Ensure compliance with all relevant legal, regulatory, and internal guidelines.
• Prepare and submit detailed reports on claims activities and outcomes to management.
• Produce management information reports (e.g., monthly major claims movements) in a timely manner and proactively identify loss trends.
  
  

Collaboration and Improvement:

• Collaborate closely with underwriting, legal, and risk management teams to support comprehensive claims management.
• Contribute to continuous improvement initiatives within the claims department.
• Support the acquisition of new business and retention of existing business, including client and broker negotiations where necessary.
• Serve as a technical reference and provide training/coaching to less experienced team members.
• Encourage the involvement of functional areas in the claims handling process, such as Underwriting, MMC, ARC, and Operations.
• Coordinate with local and regional teams on operating processes and claim handling procedures to ensure quality claim service is provided to all customers in accordance with Allianz Claims Philosophy.
  
  

Requirements:

• A minimum of 7 years of relevant experience in handling Marine claims, including Marine, Cargo, and Freight Forwarder lines within the general insurance industry.
• Strong knowledge of insurance policies, regulations, and industry best practices related to marine and freight forwarder liability lines.
• Professional certifications in insurance or claims management are advantageous.
• Certification in Basic Insurance Concepts and Principles (BCP), Personal General Insurance (PGI), and Commercial General Insurance (ComGl) with the Singapore College of Insurance, would be advantageous.
• Demonstrated marine claims management competency in the Asia marine insurance market.
• Excellent analytical and problem-solving skills with keen attention to detail.
• Strong negotiation and communication skills, with the ability to interact effectively with a diverse range of stakeholders.
• Proficiency in using claims management software and relevant technology.
• Ability to work independently and collaboratively in a fast-paced environment.
• Meticulous, analytical, organized, and adept at problem-solving.
  
  

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.

Seniority level

• Seniority level Mid-Senior level

Employment type

• Employment type Full-time

Job function

• Job function Other, Information Technology, and Management
• Industries Financial Services and Insurance

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Join to apply for the

Senior Claims Specialist, Marine

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Allianz Services 5 days ago Be among the first 25 applicants Join to apply for the

Senior Claims Specialist, Marine

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Allianz Services Allianz Services is part of Allianz Group, one of the world's leading insurers and asset managers and has succeeded in becoming one individual business segment by combining various businesses from different parent companies. Allianz Services is running service delivery operations in Romania, India, Mauritius and Morocco as well as is operating Consulting hubs in Germany, USA, Italy, France and Singapore with almost 6000 colleagues globally.

Senior Claims Specialist (Non-Motor) - Marine

Your role will be vital in supporting Allianz entities, as a Claims Officer specializing in Marine and Freight Forwarder Liability lines, the successful candidate will oversee and process claims in these specialized areas, ensuring efficient handling and compliance with company policies and regulatory standards. This role is vital in maintaining customer satisfaction and enhancing the company's reputation for excellence in claims management.

Key Performance Indicators

Collaborate with Product, Underwriting, and other internal stakeholders to ensure alignment of coverage, policy intent, and wordings. Achieve the annual claims savings targets set by the Head of Department Demonstrate effective claims management skills, including adherence to protocols, reserving practices, and managing a panel of service providers. Maintain excellent turnaround times and claims service standards to meet customer expectations.

Responsibilities

Claims Management:

Maintain accurate claim records. Handle claims to completion within designated Settlement Authority and Company Guidelines, ensuring timely actions, appropriate investigations, regular case reviews, and proper evaluations. Conduct thorough investigations to assess claim validity and extent. Appoint appropriate and independent surveyors, investigators, lawyers, and other providers to manage claims. Communicate with claimants, intermediaries, and stakeholders to gather necessary documentation and information. Establish and maintain loss reserves following company SOPs, with timely updates to claims data, ensuring accuracy in both system and file records. Negotiate efficient and competitive settlements. Settle unpursued claims according to settlement guidelines. Maximize recoveries from salvage dispositions, subrogation, or other recovery proceedings through close monitoring. Provide timely advice, relevant supporting documents, and responses to inquiries to coinsurers/reinsurers for prompt settlement of their share.

Analysis and Decision-Making:

Analyze claims data to identify trends and recommend improvements in claims handling processes. Make informed settlement decisions, negotiating as necessary to ensure fair outcomes for both the company and claimants.

Customer Service:

Deliver exceptional customer service by effectively communicating with claimants and stakeholders, promptly addressing inquiries, and resolving issues. Build and maintain strong relationships with clients and intermediaries to facilitate smooth claims processing.

Compliance and Reporting:

Ensure compliance with all relevant legal, regulatory, and internal guidelines. Prepare and submit detailed reports on claims activities and outcomes to management. Produce management information reports (e.g., monthly major claims movements) in a timely manner and proactively identify loss trends.

Collaboration and Improvement:

Collaborate closely with underwriting, legal, and risk management teams to support comprehensive claims management. Contribute to continuous improvement initiatives within the claims department. Support the acquisition of new business and retention of existing business, including client and broker negotiations where necessary. Serve as a technical reference and provide training/coaching to less experienced team members. Encourage the involvement of functional areas in the claims handling process, such as Underwriting, MMC, ARC, and Operations. Coordinate with local and regional teams on operating processes and claim handling procedures to ensure quality claim service is provided to all customers in accordance with Allianz Claims Philosophy.

Requirements:

A minimum of 7 years of relevant experience in handling Marine claims, including Marine, Cargo, and Freight Forwarder lines within the general insurance industry. Strong knowledge of insurance policies, regulations, and industry best practices related to marine and freight forwarder liability lines. Professional certifications in insurance or claims management are advantageous. Certification in Basic Insurance Concepts and Principles (BCP), Personal General Insurance (PGI), and Commercial General Insurance (ComGl) with the Singapore College of Insurance, would be advantageous. Demonstrated marine claims management competency in the Asia marine insurance market. Excellent analytical and problem-solving skills with keen attention to detail. Strong negotiation and communication skills, with the ability to interact effectively with a diverse range of stakeholders. Proficiency in using claims management software and relevant technology. Ability to work independently and collaboratively in a fast-paced environment. Meticulous, analytical, organized, and adept at problem-solving.

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. Seniority level

Seniority level Mid-Senior level Employment type

Employment type Full-time Job function

Job function Other, Information Technology, and Management Industries Financial Services and Insurance Referrals increase your chances of interviewing at Allianz Services by 2x Get notified about new Marine jobs in

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Non- Medical Claims, Specialist page is loaded Non- Medical Claims, Specialist Apply locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 4 Days Ago job requisition id JR-57148

At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030. And to get there, we need ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business. Sound like you? Then read on. About the Role Process incontestable and contestable major claims in individual life policies

Position Objectives: To ensure that the administration of Major Claims constantly meet the department goals that aligns and contributes to the Corporate Strategy. Roles and Responsibilities: Process and settle incontestable and contestable major claims (e.g. Critical Illness, Total and Permanent Disability, Dismemberment, Death claims) within TAT and in compliance with procedure and guidelines. · Review pending cases every month and reduce pend ratio on the agreed goal set. OPAT savings – To monitor on the close file review and ensure timely provision reversal. Achieve less than 0.25% error rate from QC sampling size and 0% error recurrence. Meeting claims productivity and benchmark within authority limit, with high expectations and accuracy. Attend to enquiries / emails promptly and satisfactory. Other Functions · Suspense management – suspense is cleared within 5 days. Perform other responsibilities, duties, projects, special assignments periodically assigned by supervisor in order to meet operational and/or other requirements. Minimum Job Requirements: Bachelor's degree holder or equivalent. Minimum 5 years working experience in insurance industry. Independent and self-starter. Customer service oriented, positive attitude and good interpersonal skills Spoken and written in both English and Malay language. Good Knowledge in claims assessments, FSA 2013 and technical skills. Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives. You must provide all requested information, including Personal Data, to be considered for this career opportunity. Failure to provide such information may influence the processing and outcome of your application. You are responsible for ensuring that the information you submit is accurate and up-to-date. Similar Jobs (4)

Non-Medical Claims (PA), Analyst locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 30+ Days Ago Non-Medical Claims, Analyst locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 30+ Days Ago Non-Medical Claims, Consultant locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 14 Days Ago At AIA, we don’t simply believe in being ‘The Best’. We believe in better - because there’s no limit to how far ‘better’ can take us. We believe in empowering every one of our people to find their 'better' - in the work they do, the career they build, the life they live and the difference they make. So that together we can support even more people - including our own - to live Healthier, Longer, Better Lives, build healthier societies and cultivate healthier environments that better everyone. If you believe in better, we’d love to hear from you.

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