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Assistant Manager, Third Party Bodily Injury Claims
2 weeks ago
This position is responsible for the processing of Third Party Bodily Injury Claims.
He/She is to ensure that claims received are acknowledged or attended in a timely manner including examination of claims, making recommendations for decision and/or approval for offers and the preparation of payment as well as any ad-hoc assignments given to him/her by superiors from time to time.
He/She is to ensure that the claims activities are handled in a timely manner, professionally and in compliance with operating guidelines both internal (i.e. Claims SOP) and that stipulated by BNM and PIAM regarding claims procedures / processes and turn-around time.Duties & Responsibilities
To ensure all claims notification and/or submission (receipt of Notice Section 96) received are acknowledged or attended to in a timely manner.
To ensure that the assessment and the examination of claims are conducted efficiently and effectively while making sure that appropriate decisions on each case are made.
Ensuring that reserves provided adequately reflect the claim exposure while making appropriate changes in reserves as the claim progresses
Coordinating with relevant parties to investigate those cases which were red-flagged and to source relevant information to facilitate investigation.
Priortise prompt and fair settlement of claims via pro-active negotiation while not neglecting claims cost management
To ensure that claims enquiries and / or complaints are attended to and resolved promptly and effectively.
To co-ordinate for TPBI Section with external auditors, regulatory authority for audit exercise at relevant level.
To involve in monthly QR review of cases processed by claims handlers and to debrief the handlers concerned for the findings.
To monitor and manage the performance of panel adjusters and solicitors covering such matters as monthly bordereaux of cases as well as annual due diligence etc.
To attend to XOL advice and recoveries for motor claims and ensuring that monthly claims review is effectively carried out.
Qualifications:
Skills:
Strong negotiation skill to facilitate pro-active claims settlement
Inquisitive and investigative in detecting fraudulent claims
Capable of assessing the nature and the severity of injuries to facilitate provision of reserves adequately and appropriately.
Ability to formulate appropriate investigation according to profile and nature of claims
Capable of managing portfolio of cases effectively and independently
Experience
Relevant experience in handling TPBI claims
Knowledgeable in relevant law. Eg. Civil Law etc
Negotiation and effective claims settlement track record.
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