Claim Processing Analyst
5 days ago
Claim Processing Analyst
**Primary Details**
Time Type: Full time
Worker Type: Employee
This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for keeping portfolios compliant to SLAs measured.
**Primary Responsibilities**
- Manage claims end to end within parameters of claims manual, DTPs, policies and relevant legislation and regulations
- Ensure compliance within delegated authority limits
- Maintain effective and proactive communication with customers
- Ensure effective coordination with suppliers
- Set possible cost of claim and updates on time as reports are sent through by assessors
- Raises payment within delegations of authority
- Decide on the best fulfillment method to settle claim
- Identify suspicious or potentially fraudulent claims in accordance with QBE fraud indicators. Refer these claims to the Fraud Investigations team
- Identify recovery opportunities on claims
- Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out
- Provide feedback to the underwriting team for details that need to be flagged/ noted in the policy that is relevant upon renewal
**Required Education**
- Bachelor's Degree or equivalent combination of education and work experience
**Required Experience**
- NA
**Preferred Competencies/Skills**
- Customer service skills
- Proficiency in MS tools
- Analytical and negotiation skills
- Excellent verbal and written communication skills (English)
- Preferably with Case Management Skills
**Preferred Knowledge**
- Preferred Basic Knowledge of Insurance
- Basic Knowledge of Customer Service
**QBE Cultural DNA**
**US Only - Disclaimer**
- To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.
**Global Disclaimer**
- The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee's normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.
How to Apply:
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
Job ID 324584
-
Claim Processing Analyst
7 days ago
Petaling Jaya, Malaysia QBE Insurance Full time**Primary Details** Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for...
-
Claim Analyst I
4 days ago
Petaling Jaya, Malaysia Kimberly-Clark Full timeClaim Analyst I Kimberly-Clark makes the essentials for a better life - with brands that matter every day, everywhere people go. Throughout our 142 years, we have challenged conventional wisdom to innovate products for the evolving needs of consumers worldwide. We’ve created new categories with top brands like Kleenex®. And we’ve redefined categories...
-
HR Process Analyst
2 weeks ago
Petaling Jaya, Malaysia Schlumberger Full time**HR Process Analyst**: Petaling Jaya - Malaysia **Job Summary**: The HR Process Analyst provides functional and technical support to users of HR systems. In close cooperation with other HR Process Analysts, HR Process Project Managers and Applications Support Analysts, he/she provides quality support services to Employees, Managers and the HR...
-
Ri/co Claims Analyst
7 days ago
Petaling Jaya, Malaysia QBE Full timePrimary Details Time Type: Full time Worker Type: Employee Providing delivery of RI/CO claims services, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases. Ensuring customer satisfaction and equitable solution to RI/CO claims in accordance with company guidelines. **Responsibilities**: - Support the...
-
Ri/co Claims Analyst
7 days ago
Petaling Jaya, Malaysia QBE Insurance Full time**Primary Details** Time Type: Full time Worker Type: Employee Providing delivery of RI/CO claims services, determining proper policy coverage to conclude, investigate, evaluate and negotiate assigned cases. Ensuring customer satisfaction and equitable solution to RI/CO claims in accordance with company guidelines. **Responsibilities**: - Support the...
-
Claims Admin Assistant
7 days ago
Petaling Jaya, Malaysia Across Asia Assist (M) Sdn Bhd Full timeYou will be employed under Across Asia Assist (M) Sdn Bhd to support the Claims Department of a US based client (On Call International). For more than two decades, On Call International, a leading provider of travel risk management and travel assistance services, has helped millions of people with their travel problems, big and small. From serious medical...
-
Claim Administrator
7 days ago
Petaling Jaya, Malaysia GD Express Sdn Bhd Full timeResponsibilities: a) Review submitted claims in order to determine coverage and calculate the amount of claims. b) Analyses a claim made to establish whether it meet the terms and conditions or policy conditions. c) Compile accurate information and documents to proceed with a claim. d) Consult and liaise with inter department / Insurer to monitor the...
-
Claim Specialist
13 hours ago
Petaling Jaya, Malaysia AXA Partners, Asia Assistance Network Full time**ABOUT THE COMPANY**: Located in the heart of Petaling Jaya, Malaysia, **Asia Assistance Network (M) Sdn. Bhd.** has emerged as Malaysia’s leading assistance service provider and third party administrator as well as earned a global reputation as Asia’s top medical assistance provider. Founded in 1998, we are based in Petaling Jaya, Malaysia with offices...
-
Petaling Jaya, Malaysia IT Business Solutions Sdn Bhd Full time**Position: USP Claims Management Specialist** **Headcount: 1** **Contract Duration: 12 months** **Location: CD Tower, PJ** **Experience: 1 to 3 years** **Mandatory Requirements**: - Claim Management. - Stakeholder Management. - Good Communication skills. - Flexible to work on weekend to support ad-hoc request from MCMC. **USP Claims Management...
-
Invoice Processing Analyst
2 weeks ago
Petaling Jaya, Malaysia Schlumberger Full time**Invoice Processing Analyst - Japanese Speaker**: Petaling Jaya - Malaysia Job Summary: As AP Invoice Processing Analyst, the primarily responsible AP invoice processing, exception resolutions, and vendor reconciliation processes. This position resolves business critical issues, provides internal and external customer support, implements process...
-
Claims Assistant
3 days ago
Petaling Jaya, Malaysia Across Asia Assist (M) Sdn Bhd Full time**Job Overview** Greeting from AAA !! This team is designated to support the Claims Department of a US based client (On Call International). For more than two decades, On Call International, a leading provider of travel risk management and travel assistance services, has helped millions of people with their travel problems, big and small. From serious...
-
Clam Processing Analyst, Asia
2 weeks ago
Petaling Jaya, Malaysia QBE Full timePrimary Details Time Type: Full time Worker Type: Employee This role is responsible for end to end claims management of claims. This includes making decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. This role is also responsible for...
-
Analyst I
6 days ago
Petaling Jaya, Malaysia PRGX Global, Inc Full time**ABOUT PRGX** **Job Description**: Job Title: Analyst I Date: 2021 Division/Department: Recovery Audit **Location**: Reports to: Management **Service Line**: Recovery Audit **Band**:2 - Specialized Support*** **Zone**:NA **Type of position**: Full-time Temporary - Part-time Other **FLSA Status**:Hours____ / week - Exempt Not applicable -...
-
Analyst Iii
6 days ago
Petaling Jaya, Malaysia PRGX Global, Inc Full time**ABOUT PRGX** **Job Description**: Job Title: Analyst III Date: 2021 Division/Department: Recovery Audit **Location**: Reports to: Management **Service Line**: Recovery Audit - Non-Commissioned **Band**:3 - Professional*** **Zone**:NA **Type of position**: Full-time Temporary - Part-time Other **FLSA Status**:Hours____ / week - Exempt Not...
-
Analyst Iii
5 days ago
Petaling Jaya, Malaysia PRGX Global, Inc Full time**ABOUT PRGX** **Job Description**: Job Title: Analyst III Date: 2021 Division/Department: Recovery Audit **Location**: Reports to: Management Service Line: Recovery Audit - Non-Commissioned Band: 3 - Professional Zone: NA Type of position: Full-time Temporary - Part-time Other FLSA Status: Hours____ / week - Exempt Not applicable - Non-exempt JOB...
-
Claims Managament
2 weeks ago
Petaling Jaya, Malaysia Elabram Systems Full timeMust understand the entire end to end USP claims management process and ability to perform claims process as per process documentation. - To demonstrate problem solving capabilities in resolving issues and providing solutions. - Liaise with vendor, MCMC, auditor and cross functional teams such as USP management team and Network teams. - To share feedback...
-
Manager, Claims
3 days ago
Petaling Jaya, Malaysia QBE Insurance Group Limited Full timeManager, Claims (Financial Lines & Liability) **Primary Details** Time Type: Full time Worker Type: Employee To assist in the management of the day to day activities of a team of Claims staff, directing, monitoring and controlling the handling of Claims within the control of the team **Primary Responsibilities** - Support the implementation and...
-
Manager, Claims
5 days ago
Petaling Jaya, Malaysia QBE Full timePrimary Details Time Type: Full time Worker Type: Employee To assist in the management of the day to day activities of a team of Claims staff, directing, monitoring and controlling the handling of Claims within the control of the team Primary Responsibilities - Support the implementation and communication of Financial Lines & Liability Claims strategy...
-
Manager, Claims
5 days ago
Petaling Jaya, Malaysia QBE Insurance Full time**Primary Details** Time Type: Full time Worker Type: Employee To assist in the management of the day to day activities of a team of Claims staff, directing, monitoring and controlling the handling of Claims within the control of the team **Primary Responsibilities** - Support the implementation and communication of Financial Lines & Liability Claims...
-
[my] Assistant Manager, Outpatient Claims
2 weeks ago
Petaling Jaya, Malaysia Doctor Anywhere Full time**About Doctor Anywhere**Doctor Anywhere (DA) is on a mission to be the largest tech-enabled, omnichannel healthcare provider in Southeast Asia. First launched in Singapore in 2017, DA aims to bridge gaps in the healthcare ecosystem through developing innovative solutions and technologies. In 2021, DA raised SGD$88 million in Series C fundraising (August...