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Non-medical Claims, Analyst

7 months 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 ambitious people who believe in playing an important part in shaping that future. People seeking unmatched career and personal growth opportunities, who are driven to work with, and learn from some of the most inspiring and supportive leaders in the business._

Sound like you? Then read on.

About the Role

Processing of Third-Party Property Damage, Third Party Knock-for-Knock (Cost of Repair) and Own Damage (OD) & Own Damage Knock-for-Knock (ODKFK) claims to ensure compliance with BNM and regulatory bodies.

Roles and Responsibilities:

- Processing of Third-Party Property Damage (TPPD) claims.
- Preparing checklist and Initiate KFK enquiry to claimant insurers for mandate.
- Process, assess, negotiate, and approve settlement of TPPD claims within authority limit of RM25,000.00.
- Process, assess, negotiate, and propose settlement of TPPD claims exceeding the above authority level.
- Ensure reserve is adequately provided for and adjust reserve, if necessary.
- Ensure that TP claimant details are updated in POLA system.
- Ensure update of NCB timely based on claim scenario and police investigation result.
- Processing of Third Party KFK Claim.
- Preparing checklist, process, assess and initiate KFK mandate to third party insurers for cases within authority limit of RM25,000.00.
- Process, assess, negotiate, and propose mandate for cases exceeding the above authority level.
- Ensure update of NCB timely based on claim scenario and police investigation result.
- Prepare payment for KFK Reimbursement by Third Party insurers.
- Processing of Own Damage/Own Damage KFK Claim.
- Process, assess, negotiate, and approve settlement of OD/ODK claims within authority limit of RM25,000.00.
- Desktop assessment for OD/ODK & TPPD claims. Preparing checklist, process, assess OD & ODKFK to repairer.
- In-house surveyor duties.
- Process, assess and propose approval for all cases as still no authority yet.
- Ensure update of NCB timely base on claim scenario and police investigation result.
- Ensure reserve is adequately provided for and adjust reserve, if necessary.
- Follow-up with third party claimants on outstanding documents and claimant insurers on mandate.
- Annual review of outstanding claim files.
- Supervise a filing clerk and ensure that management of claim files is in proper order.
- Attend to incoming phone calls, walk in agents, customers, and repairers.
- Performs other responsibilities and duties periodically assigned by supervisor to meet operational and/or other requirements.
- Build a career with us as we help our customers and the community live Healthier, Longer, Better Lives._