Claims Assessor

7 days 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

  • Senior Claims Professional

    6 days ago

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

    Job Description:We are seeking a highly skilled Senior Claims Professional to join our team at Prudential Hong Kong Limited. As a key member of our Claims Department, you will be responsible for detecting and preventing Medical Claims Fraud, Waste and Abuse (FWA) in order to ensure the long-term sustainability of our portfolio.With a strong knowledge of...

  • Medical Claims Specialist

    6 days ago

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

    Our Company Culture:We pride ourselves on being a diverse and inclusive organization that values teamwork, innovation, and continuous learning. Our employees are passionate about making a difference in the lives of our customers and communities.We offer a range of benefits and programs to support our employees' physical, emotional, and financial well-being,...

  • Claims Operations Specialist

    4 days ago

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

    Job Description:The Senior Claims Specialist will be part of the Claims team and will play a crucial role in supporting Allianz entities with claims operations to drive sustainable growth and profitability. The specialist will be responsible for managing and processing third-party property damage claims related to motor accidents, ensuring efficient and fair...

  • Fraud Detection and Prevention Lead

    6 days ago

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

    About the Role:This is an exciting opportunity to join our dynamic Claims Department and contribute to the success of Prudential Hong Kong Limited. As a Medical Claims Specialist, you will play a critical role in detecting and preventing Medical Claims Fraud, Waste and Abuse (FWA) and improving operational efficiency.You will have the opportunity to work...

  • Global Risk Assessors

    9 hours ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Sedgwick Claims Management Services Ltd Full time

    What We OfferWe offer a competitive salary package and a range of benefits to support your physical, mental, financial, and professional well-being.As a Loss Adjuster, you will have access to market-leading training programs and mentorship opportunities to help you grow your career.You will also have the chance to work with a diverse and inclusive team that...

  • Claims Technical Excellence Manager

    6 days ago

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

    About Us:Prudential Hong Kong Limited is an equal opportunity employer that provides equality of opportunity and benefits for all who apply and who perform work for our organization irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or...

  • Operations Transformation

    2 weeks ago

    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...

  • Admin - Business Support

    2 weeks ago

    Kuala Lumpur, Malaysia Krava Studio Enterprise 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...

  • Individual Claims Management, Analyst

    3 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia AIA Hong Kong and Macau Full time

    Individual Claims Management, Analyst page is loadedIndividual Claims Management, AnalystApply locations Kuala Lumpur, MY-AIA Malaysia time type Full time posted on Posted 2 Days Ago job requisition id JR-55493At 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...

  • Business Admin Support

    2 weeks ago

    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Business Admin Support** **Tenure : 9 Months contract** **Working location**: **Salary : Rm 6000- Rm 7000** **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 3...

  • Business Admin

    2 weeks ago

    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position : Business Admin Support** **Tenure : 9 Months contract** **Working location**: **Salary : RM 4500 - 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...

  • Business Admin Support

    2 weeks ago

    Kuala Lumpur, Malaysia EPS Ventures Sdn Bhd Full time

    **Position: Business Admin Support** **Tenure: 9 Months contract (Maternity Replacement)** **Basic Salary: Open Negotiation** **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...

  • Business Admin

    7 days 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...

  • Medical Advisory, Case

    2 days ago

    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...

  • Medical Advisory, Case

    6 days ago

    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...

  • Medical Advisory, Case

    3 weeks ago

    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...

  • Pbtb Assistant Manager, Medical Management

    7 days ago

    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...

  • Pbtb Assistant Manager, Medical Management

    4 days ago

    Kuala Lumpur, Malaysia Prudential plc Full time

    PBTB | Assistant Manager, Medical Management 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...

  • Sustainability Manager

    3 weeks ago

    Kuala Lumpur, Malaysia DNV Full time

    **About us**: We are the independent expert in assurance and risk management. Driven by our purpose, to safeguard life, property, and the environment, we empower our customers and their stakeholders with facts and reliable insights so that critical decisions can be made with confidence. As a trusted voice for many of the world’s most successful...