Claims Investigator Insurance Industry Mnc

4 days ago


Cyberjaya, Malaysia Agensi Pekerjaan Times Management Consultancy Sdn Bhd Full time

_

**Responsibilities**:_
- Assess customer profiles, policy details and claim history (all policies).
- Review claim patterns/trends nature of injuries, treating doctors, clinic address and residential/workplace.
- Conduct interviews with the servicing agent, medical doctors and claimant.
- Verify claim document, analyze signs of potential forged documents and clarification with hospital.
- Gather all information and prepare preliminary investigation report to Fraud Team.
- Provide training session to claims assessors on fraud detection and best practices.
- Ensure that targets in line with KPI goals.
- Performs other tasks periodically assigned by supervisor to meet operational and/or other requirements.
- **Qualifications/Requirements**:_
- **Diploma and above** in any discipline.
- Minimum of **3 years’ experience** in **Claims Processing/Investigation** - Life Claims/PA.
- Good proficiency in English.
- Able to commence work in April 2024

**Job Types**: Full-time, Permanent

**Salary**: RM5,500.00 - RM9,500.00 per month

**Benefits**:

- Flexible schedule
- Health insurance
- Opportunities for promotion
- Professional development

Schedule:

- Monday to Friday

**Experience**:

- Claims Investigation: 3 years (required)

Ability to Commute:

- Cyberjaya (preferred)



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