Claim Administrator
6 months ago
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
-
Claims Administrator
6 months ago
Kuala Lumpur, Malaysia Prudential plc Full timeClaims Administrator Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the...
-
Claim Administrator
6 months ago
Kuala Lumpur, Malaysia Sedgwick Full timeTaking 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...
-
Claims Executive-motor Insurance Claims
7 months ago
Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full time**Position: Insurance Claims Executive.**: - **Salary: RM 4000-5000.**: - **Job location: City center (5-day week), Kuala Lumpur.** Chrisjac is currently seeking individuals who are interested in Executive Claims administration position for an established insurance company in Kuala Lumpur. This position would be based at their Motor Claims Department...
-
Claims Manager
6 months ago
Kuala Lumpur, Malaysia Aon Corporation Full timeClaims Manager **Claims Manager, Professional Indemnity Insurance (PII) Scheme for Lawyers** **Aon is in the business of better decisions** At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about...
-
Claims Manager
6 months ago
Kuala Lumpur, Malaysia Aon Corporation Full timePosting Description: **Claims Manager, Professional Indemnity Insurance (PII) Scheme for Lawyers** **Aon is in the business of better decisions** At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about...
-
Internship - Claims Administrative Assistant
7 months ago
Kuala Lumpur, Malaysia Goodterm Alliance Sdn Bhd Full time**Motor Claims Processing Internship (Fresh Graduates or Zero Experience Welcome!)** **Internship with Potential for Full-Time Employment** Are you a detail-oriented and eager-to-learn recent graduate interested in the exciting world of insurance? **We're looking for motivated interns to join our growing claims processing team!** **Why Intern with Us?** -...
-
Claims and Admin Executive
6 months ago
Kuala Lumpur, Malaysia Pacific Prime Insurance Brokers Sdn Bhd Full timePrepare, check and submit claim forms and related documentation Update claims status on internal system and platform Communicate with clients and handle enquiries on insurance coverage, claims, pre-authorization, etc. Liaise with insurance partners, clinics/hospitals, third-party administrators on claims matters Support on claims administration of...
-
Claims Executive
6 months ago
Kuala Lumpur, Malaysia AS White Global Pty Ltd Full time**The Opportunity** Our client is a well-established Australian firm with expertise in managing multinational accounts, iconic brands, high-net-worth individuals, and private businesses. They have over 60 years of experience and specialize in various industry sectors, providing risk management advice and maintaining a strong reputation in local and...
-
Claims Representative A
7 months ago
Kuala Lumpur, Malaysia The Cigna Group Full timePOSITION : Claim Representative A REPORTING TO : Claim Supervisor or Manager DEPARTMENT : Claims Career Band : Band 1 JOB PURPOSE The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing...
-
Claim Handling Officer
7 months ago
Kuala Lumpur, Malaysia HR FIRST Sdn Bhd Full timePosition: Claim Handling Officer/ Operations Support Contract Duration: 6 months Office loocation: Menara Prudential TRX Description - Adhering to the claim’s workflow in relation to Accident and Hospitalization claims procedure. - Assess and provide justifiable claims according to policy terms and conditions, within the department benchmark, turnaround...
-
Claims Representative A
7 months ago
Kuala Lumpur, Malaysia The Cigna Group Full timePOSITION : Claims Representative REPORTING TO : Claims Senior Representative / Supervisor 1. JOB PURPOSE The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of...
-
Claim Supervisor
7 months ago
Kuala Lumpur, Malaysia The Cigna Group Full timeJOB PURPOSE Manages the accurate and timely adjudication of claims and administers disposition according to contractual benefits and company procedures. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Responsible for monitoring claim service standards. 2. RESPONSIBILITIES AND DUTIES -...
-
Claims Representative
6 months ago
Kuala Lumpur, Malaysia The Cigna Group Full time**JOB DESCRIPTION**: **POSITION : Claim Representative** **REPORTING TO**: Claim Supervisor or Manager** **DEPARTMENT : Claims** **Career Band : Band 1** **JOB PURPOSE** The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining...
-
Claims Representative A
7 months ago
Kuala Lumpur, Malaysia The Cigna Group Full time**JOB PURPOSE** The job holder is responsible of serving providers and insurance companies by determining requirements, answering inquiries, resolving problems, fulfilling requests and maintaining database. He/She is responsible for processing as per terms of benefits. He/She should provide accurate and relevant medical coverage details and maintain...
-
Insurance Claims Executive-motor Insurance
7 months ago
Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full time**Position: Insurance Claims Executive.**: - **Salary: RM 4000-5000.**: - **Job location: City center (5-day week), Kuala Lumpur.** Chrisjac is currently seeking individuals who are interested in Executive Claims administration position for an established insurance company in Kuala Lumpur. This position would be based at their Legal Department responsible...
-
Claims Executive/adjuster, Motor Insurance
7 months ago
Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full time**Position: Claims Executive/Adjuster, Motor insurance.**: - **Salary: RM 4000-5000.**: - **Job location: City center (5-day week), Kuala Lumpur.** Chrisjac is currently seeking individuals who are interested in Executive Claims/Adjuster position for an established general insurance company in Kuala Lumpur. This position would be based at their Motor...
-
Insurance Claims Executive, Motor Insurance
7 months ago
Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full time**Position: Insurance Claims Executive-Motor insurance.**: - **Salary: RM 4000-5000.**: - **Job location: City center (5-day week), Kuala Lumpur.** Chrisjac is currently seeking individuals who are interested in Executive Claims/Adjuster position for an established general insurance company in Kuala Lumpur. This position would be based at their Motor...
-
Insurance Claims Executive-motor Insurance
7 months ago
Kuala Lumpur, Malaysia Chrisjac Recruitment Services Full time**Position: Insurance Claims Executive,Motor insurance.**: - **Salary: RM 4000-5000.**: - **Job location: City center (5-day week), Kuala Lumpur.** Chrisjac is currently seeking individuals who are interested in Executive Claims/Adjuster position for an established general insurance company in Kuala Lumpur. This position would be based at their Motor...
-
Am, Claims Investigator
7 months ago
Kuala Lumpur, Malaysia Allianz Full timeAM, Claims Investigator **Summary** The Claims Investigator is responsible for all aspects of the investigation process to include creation of investigation plans, identification and assignment of relevant enquiries and reporting on findings. The investigator will provide assistance to the claims examiner in progress the claim and will leverage knowledge...
-
Junior Executive, Claims
7 months ago
Kuala Lumpur, Malaysia Tokio Marine Group Full time**Responsibilities**: - Provide general administrative and support including filing, scanning, mailing, data entry within desired target TAT to ensure compliance to internal and regulatory guidelines. - Assist in claims registrations and payments to facilitate smooth claims processing. - Maintain office supplies for department. - Scan the incoming documents...