Claims Assessor

4 weeks 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 accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity.
- Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence.
- Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
- Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate.
- Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims.
- Assess damages by calculating applicable damages or range of damages allowed by law.
- Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
- Meet quality standards by following best practices

Job Qualifications- Required:

- Bachelor’s Degree and 3 or more years of experience in the Claims and/ or Litigation Management area.
- OR- Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.

OR- Zurich Certified Insurance Apprentice, including an Associate Degree with 3 or more years of experience in the Claims and/ or Litigation Management area.

OR- Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.

OR- High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.

AND- Microsoft Office experience
- Knowledge of insurance regulations, markets and products

Preferred:

- Effective verbal and written communication skills- Strong analytical, critical thinking and problem-solving skills
- Strong multi-tasking and prioritization skills
- Experience collaborating in a team environment and building cross functional working relationships
- Proactively shares and promotes sharing of insights
- Ability to gather unique perspectives from other teams/functions to optimize outcomes.
- Understands, analyzes, and applies the component parts of an insurance policy for complex claims
- Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
- Ability to determine the scope and exposure for complex claims
- Ability to leverage trend and relationships to provide high-quality customer service
- Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims



  • Kuala Lumpur, Malaysia Agensi Pekerjaan Hiredsearch Services Sdn Bhd Full time

    Process all Life and/or Accident & Hospitalization claims requests received as per stipulated requirements - Process pre-approval requests in accordance with required benchmarks - Evaluate and gather all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim / underwriting system - Ensure...


  • Kuala Lumpur, Malaysia Agensi Pekerjaan Hiredsearch Services Sdn Bhd Full time

    Process all Life and/or Accident & Hospitalization claims requests received as per stipulated requirements - Process pre-approval requests in accordance with required benchmarks - Evaluate and gather all data for claim processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim / underwriting system - Ensure...


  • Kuala Lumpur, Malaysia Prudential plc Full time

    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 business, and we support...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Hong Kong Limited Full time

    At Prudential Hong Kong Limited, we are committed to being 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.The incumbent will play a key role in ensuring the long-term sustainability of the...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full time

    Job DescriptionWe are seeking a highly skilled Motor Claims Resolution Specialist to join our Claims team at Allianz Popular SL.About the Role:Assess and process third-party property damage claims, determining liability and evaluating the extent of damage.Conduct detailed investigations, including site visits, collecting evidence, and liaising with repairers...

  • Customer Service

    3 days ago


    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Client background**: Our client provides Extended Warranty and Manufacturers Warranty services to leading Australian retail outlets and manufacturers outsourcing back office functions, with call centres in Sydney, Auckland, Singapore, Malaysia, Dublin, and Slovenia. **Basic salary**:RM 4000 + RM 200 (allowance) **Industry**: TPA/ Insurance **Location**:...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full time

    Qualifications and SkillsTo be successful in this role, you will need:Professional certification in insurance or claims management.Certification in Basic Insurance Concepts and Principles (BCP), Personal General Insurance (PGI) and Commercial General Insurance (ComGl) with Singapore College of Insurance.More than 7 years of experience in motor claims...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full time

    Company OverviewAllianz Popular SL is one of the most trusted insurance and asset management companies in the world. We care for our employees, their ambitions, dreams, and challenges, making us a unique employer.Together we can build an environment where everyone feels empowered and has the confidence to explore, grow, and shape a better future for our...


  • Kuala Lumpur, Malaysia AIA Group Full time

    **At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.** **Sound like you Then read on.** **WE ARE LOOKING FOR.....**Responsible for performing pre-certification prospective, concurrent and retrospective review of hospitalization and to Ensure cost containment measures are carried out without compromising...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Allianz Popular SL. Full time

    BenefitsWe offer a competitive package that includes:A comprehensive salary and benefits program.An opportunity to work with a leading insurance company.A chance to develop your skills and knowledge in claims management.A collaborative and supportive work environment.About the Job:Third-Party Property Damage Claims HandlerWe are seeking a skilled Third-Party...


  • Kuala Lumpur, Malaysia HiredSearch Full time

    Process pre-approval requests in accordance with required benchmarks - Evaluate and gather all data for claim / underwriting processes, prepare medical questionnaire and to review all status and ensure efficient adjustment in claim / underwriting system - Ensure meeting individual quality, turnaround time and productivity benchmark - Effective assessment of...


  • Kuala Lumpur, Malaysia AIA Group Full time

    **At AIA we've started an exciting movement to create a healthier, more sustainable future for everyone.** **Sound like you Then read on.** **WE ARE LOOKING FOR.....**Responsible for performing pre-certification prospective, concurrent and retrospective review of hospitalization and to ensure that cost containment measures are carried out without...


  • Kuala Lumpur, Malaysia ASIA RECRUIT MANAGEMENT SDN BHD Full time

    Ensuring all the data (i.e. sales / customer information/ project delivery/ planning and scheduling/ project documents) in the systems are updated and correct. - Planning of assessments in advance for at least 3 months (this includes the requests received from other countries and other areas as well as sending request to other countries). - Communication and...

  • Business Admin

    3 weeks ago


    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Business Admin Support** **Tenure : 9 Months contract** **Working location**: **Salary : RM 3500 - RM 5000** **Responsibilities**: - Ensuring all the data (i.e. sales / customer information/ project delivery/ planning and scheduling/ project documents) in the systems are updated and correct; - Planning of assessments in advance for at least...


  • Kuala Lumpur, Malaysia AIA Full time

    At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...


  • Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Business Admin Support** **Tenure : 9 Months contract** **Working location**: **Salary : RM 3500 - RM 5000** **Responsibilities**: - Ensuring all the data (i.e. sales / customer information/ project delivery/ planning and scheduling/ project documents) in the systems are updated and correct; - Planning of assessments in advance for at least...

  • Admin Support

    2 weeks ago


    Kuala Lumpur, Malaysia ASIA RECRUIT MANAGEMENT SDN BHD Full time

    Ensuring all the data (i.e. sales / customer information/ project delivery/ planning and scheduling/ project documents) in the systems are updated and correct. - Planning of assessments in advance for at least 3 months (this includes the requests received from other countries and other areas as well as sending request to other countries). - Communication and...


  • Kuala Lumpur, Malaysia AIA Full time

    At AIA we’ve started an exciting movement to create a healthier, more sustainable future for everyone. - It’s about finding new ways to not only better people's lives, but to better the communities and environments we live in. Encompassing our ambition of helping a billion people live Healthier, Longer, Better Lives by 2030._ - And to get there, we need...

  • Business Admin

    4 weeks ago


    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position: Business Admin Support** **Tenure: 9 Months contract (Maternity Replacement)** **Basic Salary: RM 4500** **Working Location: Kuala Lumpur** **Working Mode: Hybrid (3 Days Office 2 WFH)/ Standard** The person will work closely with the service owners to provide business support from sales to planning to invoicing. The support cover countries...


  • Kuala Lumpur, Malaysia Allianz Malaysia Berhad Full time

    **Do you see change as an opportunity to shine?** Ensuring health claims paid by ACS being cost contained and according to reasonable and customary charges with guideline from Ministry of Health as benchmark. Assist Company and department to ensure operating profit by controlling health claim’s cost. Align with department target of savings per annum and...