Claim Administrator

2 weeks ago

Kuala Lumpur, Malaysia Sedgwick Full time

Claim Administrator

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®

Top 100 Most Loved Workplace®

Forbes Best-in-State Employer

Claim Administrator

The role of the Claims Administrator is to ensure that the claim files assigned are managed and assessed in a professional manner. This will involve working with the policy holder, Insurers, Brokers, colleagues and other professionals to ensure the claim is valid. This role will be based in our Kuala Lumpur office (Menera KH).
- Manage claims from start (first notice of loss) to end (finalisation)
- Examine documentation and evidence to determine claim validity
- Evaluate claims based on policy coverage and determine conditions have been met and exclusions have been applied
- Maintain accurate, thorough and up-to-date claim file documentation throughout the claims process in the electronic claims management system
- Ensure all data and supporting documents are entered into the claims management system
- Manage an open portfolio of claims in a timely manner, ensuring claims are managed in line with client's SLAs
- Identify and investigate potentially fraudulent claims with referral to Team Leader
- Model ethical behaviour and execute job responsibilities in accordance with Sedgwick's core values, legal requirements, and industrial regulations/policies

**Requirements**:

- Diploma / degree in any medical/health science related field of study OR
- Diploma / degree in any business or law related field of study
- Professional certificates in insurance
- Minimal three (3) years of experience in end-to-end management of claims in either accident & health, travel, property, motor/TPBI, public liability, product recall etc
- Working knowledge of industry insurance policies/wordings and the claims life cycle
- Possess good command of spoken and written English and Bahasa Malaysia
- Good analytical and numeracy skills
- Excellent interpersonal and critical thinking skills
- Able to work independently and demonstrate personal initiative
- Time management - ability to multi-task and adapt to priority change
- Proficient in the Mandarin, Cantonese or Bengali language would be an added advantage
- Demonstrates ability to work as a team to deliver our commitment to clients
- Analytical, problem solving and organizational abilities
- Meticulous and attention to details
- Team Player

Sedgwick is an Equal Opportunity Employer.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time.

Job ID R47924

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