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Claims Examiner
7 days ago
Processing/negotiating settlements with third-party solicitors, third-party claimants, and Adjusters
- Attending files from registration until claims are paid
- Assignment of adjusters when necessary
- Reviewing Confirmation of cover to third-party solicitors
- Appointment of solicitors when necessary
- Ensuring attendance of solicitors’ opinions immediately
- Ensuring call out system/diary to update files and key in the system and Excel worksheet to confirm ownership and movements of files
- Ensuring all compulsory data is keyed into the operating systems
- Approve claims within authority limits of RM60,000 and this will be reviewed from time to time.
- Prudent negotiation of PD claims
- Keep track of PD potential claims
- Assist management of the PD unit as and when required
- Review PD files and reserves as and when necessary
- Follow-up process
- Sending reminders to service providers, panel solicitors, and adjusters when necessary.
- Ensure all court files are attended as per the dates stated especially the writ of Summons mention dates and hearing dates.
- Ensure all policy breaches are recognized and brought to the management’s attention in a timely manner.
- Ensure all recoveries are recognized, updated in the system, and brought to the manager’s attention
- Ensuring all red flags are recognized and reported to SIU within the month.
- Ensure compliance with AIG internal SOPs and global and regulator directives and the laws & rules governing PD claims.
- Attending KFK recovery and reimbursement, after settlement of PD claim
- Liaise with the accounting department on KFK - receipting /other related issues
- Refer the claim to subrogation and fraud teams by identifying potential subrogation and fraud
We are an Equal Opportunity Employer
American International Group, Inc., its subsidiaries and affiliates are committed to be an Equal Opportunity Employer and its policies and procedures reflect this commitment. We provide equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories such as sexual orientation. At AIG, we believe that diversity and inclusion are critical to our future and our mission - creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a wide variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.
**Functional Area**:
CL - Claims
**Estimated Travel Percentage (%)**: Up to 25%
**Relocation Provided**: No
AIG Malaysia Insurance Berhad
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