Assistant Manager, Third Party Bodily Injury Claims

2 weeks ago

Kuala Lumpur, Malaysia Chubb INA Holdings Inc. Full time

Objective

This position is responsible for the processing of Third Party Bodily Injury Claims. He/She is to ensure that claims received are acknowledged or attended in a timely manner including examination of claims, making recommendations for decision and/or approval for offers and the preparation of payment as well as any ad-hoc assignments given to him/her by superiors from time to time.
He/She is to ensure that the claims activities are handled in a timely manner, professionally and in compliance with operating guidelines both internal (i.e. Claims SOP) and that stipulated by BNM and PIAM regarding claims procedures / processes and turn-around time.

Duties & Responsibilities

To ensure all claims notification and/or submission (receipt of Notice Section 96) received are acknowledged or attended to in a timely manner. Claims created and registered with appropriate reserves provided.

To ensure that the assessment and the examination of claims are conducted efficiently and effectively while making sure that appropriate decisions on each case are made.

Monitoring and ensuring that claims cases were properly handled and worked towards the achievement of KPI set for each key result areas

Ensuring that reserves provided adequately reflect the claim exposure while making appropriate changes in reserves as the claim progresses
Coordinating with relevant parties to investigate those cases which were red-flagged and to source relevant information to facilitate investigation.

Priortise prompt and fair settlement of claims via pro-active negotiation while not neglecting claims cost management
To ensure that claims enquiries and / or complaints are attended to and resolved promptly and effectively.

To co-ordinate for TPBI Section with external auditors, regulatory authority for audit exercise at relevant level.

To involve in monthly QR review of cases processed by claims handlers and to debrief the handlers concerned for the findings.
To attend to disputed claims and trials of litigated cases dealing with mediators and lawyers, presenting facts and pertinent evidence to support claims decision or mitigating losses if probability of success is low

To monitor and manage the performance of panel adjusters and solicitors covering such matters as monthly bordereaux of cases as well as annual due diligence etc.
Preparing and compiling large claims reporting for the Board Papers for overall motor claims

To attend to XOL advice and recoveries for motor claims and ensuring that monthly claims review is effectively carried out.

**Qualifications**:
**Skills**:
Strong negotiation skill to facilitate pro-active claims settlement
Inquisitive and investigative in detecting fraudulent claims
Capable of assessing the nature and the severity of injuries to facilitate provision of reserves adequately and appropriately.
Ability to formulate appropriate investigation according to profile and nature of claims
Capable of managing portfolio of cases effectively and independently

Experience

Relevant experience in handling TPBI claims
Knowledgeable in relevant law. Eg. Civil Law etc
Negotiation and effective claims settlement track record.

  • Travel and Motor Claim

    4 weeks ago

    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Insurance Claim Advisor** **Tenure : 1 year contract ( Immediate Hiring)** **Working Hour : Standard** **Working location : Jalan Duta** **Salary : RM 6500 - RM 7000** **Responsibilities**: - Receive, validate, and manage new claims. - Review and approve claims within authority limits, preparing files for presentation to capacity partners...

  • Insurance Claim Processor

    1 month ago

    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Insurance Claim Specialist** **Tenure : 1 year contract ( Immediate Hiring)** **Working Hour : Standard** **Working location : Jalan Duta** **Salary : RM 6500 - RM 7000** **Job Responsibilities**: - Receive, validate, and manage new claims. - Review and approve claims within authority limits, preparing files for presentation to capacity...

  • Insurance Claims Advisor

    1 month ago

    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Insurance Claim Advisor** **Tenure : 1 year contract ( Immediate Hiring)** **Working Hour : Standard** **Working location : Jalan Duta** **Salary : RM 6500 - RM 7000** **Job Responsibilities**: - Receive, validate, and manage new claims. - Review and approve claims within authority limits, preparing files for presentation to capacity...

  • Office Assistant/event Coordinator

    4 weeks ago

    Kuala Lumpur, Malaysia Ascension Party Rentals Full time

    Since our inception in 2003, Ascension Party Rentals has established itself as the premier party and event rental company in the region. With two decades of experience, we bring unparalleled expertise to every event, ensuring that our clients' celebrations are not just successful, but truly unforgettable. **Our Commitment**: At Ascension Party Rentals, our...

  • Assistant Manager, Claims

    4 weeks ago

    Kuala Lumpur, Malaysia Tokio Marine Group Full time

    **Responsibilities**: - Proactively manage claims from notification to closure of files. Ensure claims are processed in accordance with the Company’s Claims Service Standard and / or Bank Negara’s Guidelines on Claims Settlement Practices. - Work proactively to develop and manage strong relations with various stakeholders i.e. policyholders, marketers,...

  • Claims & Reconciliation Executive - Logistics

    4 weeks ago

    Kuala Lumpur, Malaysia Shopee Full time

    DepartmentOperations- LevelExperienced (Individual Contributor)- LocationMalaysia - Kuala LumpurThe Operation teams at Shopee covers the operational end-to-end process, from when the buyer searches for a product listed on the Shopee platform, to the moment the buyer receives the products. The team analyses and monitors operational KPIs across the region and...

  • Pbtb Assistant Manager, Claims

    6 days ago

    Kuala Lumpur, Malaysia Prudential plc Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...

  • Claims Assessor

    1 month ago

    Kuala Lumpur, Malaysia Zurich Insurance Full time

    Job Summary- To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.- Job Accountabilities - Key Accountabilities- Document claims file by...

  • Claims and Admin Executive

    1 month ago

    Kuala Lumpur, Malaysia PP Consultants Malaysia Sdn. Bhd. Full time

    **Job highlights**: - **5 days work week (Mon to Fri, 9am to 6pm)**: - **Immediate vacancy**: - **1 year contract (renewable)** **Responsibilities**: - Prepare, 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 System Specialist

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Zurich Insurance Company Ltd. Full time

    Job SummaryResponsible for Claims operational support, business process analysis and other responsibilities / duties periodically assigned by supervisor to meet operational and/or other requirements. Manage claims related projects based on business needs and requirements i.e regulatory, improve customer experience, system enhancement related to products or...

  • Claims and Reconciliation, Shopee Xpress

    4 weeks ago

    Kuala Lumpur, Malaysia Shopee Full time

    DepartmentOperations- LevelExperienced (Individual Contributor)- LocationMalaysia - Kuala LumpurThe Operation teams at Shopee covers the operational end-to-end process, from when the buyer searches for a product listed on the Shopee platform, to the moment the buyer receives the products. The team analyses and monitors operational KPIs across the region and...

  • Claims Analyst

    2 days ago

    Kuala Lumpur, Malaysia Zurich Insurance Full time

    Job Summary- With moderate direction, handles single and multi-party personal or commercial line claims of moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.- Job Accountabilities - Key Accountabilities- Document claims...

  • Physiotherapist

    4 weeks ago

    Kuala Lumpur, Malaysia Excellence Chiropractic Full time

    Physiotherapist Responsibilities - Manage clinic, appointment bookings & billing (clinic assistant) - Helping patients recover from accidents, illness, or injury. - Organizing therapeutic physical exercise sessions. - Providing soft tissue massage. - Collecting statistics & writing reports. - Liaising with Stakeholders/ Third parties. Employee Benefit: -...

  • Claims Representative

    3 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia The Cigna Group Full time

    The job profile for this position is Claims Senior Representative A, which is a Band 2 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...

  • Vp2/fvp, Operational Risk Management

    4 weeks ago

    Kuala Lumpur, Malaysia United Overseas Bank (Malaysia) Bhd Full time

    **About UOB**: United Overseas Bank Limited (UOB) is a leading bank in Asia with a global network of more than 500 branches and offices in 19 countries and territories in Asia Pacific, Europe and North America. In Asia, we operate through our head office in Singapore and banking subsidiaries in China, Indonesia, Malaysia and Thailand, as well as branches and...

  • Claim Handling Officer

    4 weeks ago

    Kuala Lumpur, Malaysia HR FIRST Sdn Bhd Full time

    Position: 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...

  • Internship - Claims Administrative Assistant

    4 weeks 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?** -...

  • Assistant Manager

    1 month ago

    Kuala Lumpur, Malaysia HSBC Full time

    -Job description **Why join us?** Global Custody UK Tax Service team is to assist HSBC custody client to obtain their favorable tax on the Dividend/Interest payment by ensure the physical/electronic tax documents are in place with our agent before the market deadline. We are also liaising with UK and foreign authorities on audit inspections. **The...

  • Admin / Front Desk

    7 days ago

    Kuala Lumpur, Malaysia Excellence Chiropractic Centre Full time

    Welcoming patients and visitors, answering the telephone and answering any inquiries. -Scheduling appointments and keep those appointments on time. -Assisting patients with completing necessary forms and documentation. -Keeping a clean and calm reception area. -Processing billing and payments, using medical software -Liaising with Insurance agent,...

  • Claims Representative

    3 weeks ago

    Kuala Lumpur, Malaysia The Cigna Group Full time

    The job profile for this position is Claims Senior Representative A, which is a Band 2 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right...