Claims Process Improvement Specialist

6 days ago


Kuala Lumpur, Kuala Lumpur, Malaysia Oliver James Associates Ltd. Full time

As a Business Analyst at Oliver James Associates Ltd., you will be responsible for analyzing and improving our claims processing systems and policies.

The ideal candidate will have a strong understanding of claims processing and insurance operations, as well as excellent communication skills and the ability to interact effectively with stakeholders at all levels.

Responsibilities:

  1. Analyze current claims processes and workflows to identify inefficiencies and areas for improvement.
  2. Collaborate with cross-functional teams to gather and document business requirements for claims solutions.
  3. Design and develop functional specifications that meet business needs and enhance user experience.
  4. Work with IT and development teams to implement new systems and enhancements, ensuring they align with business objectives.
  5. Conduct UAT and support training initiatives to ensure successful system rollouts.
  6. Monitor system performance and gather feedback to continuously refine claims solutions.
  7. Prepare detailed reports and presentations for management to highlight findings and recommendations.
  8. Support compliance and regulatory initiatives related to claims processing.

Requirements:

  • Bachelor's degree in Business Administration, Finance, Information Technology, or a related field.
  • 5+ years of experience as a Business Analyst, preferably in the insurance or financial services industry.
  • Strong understanding of claims processing and insurance operations.
  • Proficiency in process modeling and data analysis tools.
  • Excellent communication skills, both verbal and written, with the ability to interact effectively with stakeholders at all levels.
  • Strong problem-solving skills and the ability to work independently and as part of a team.
  • Experience with project management methodologies is a plus.
  • Familiarity with Agile/Scrum methodologies is preferred.


  • Kuala Lumpur, Kuala Lumpur, Malaysia NXP Semiconductors Full time

    Job Summary:NXP Semiconductors is seeking a highly skilled Process Improvement Specialist to join our team. As a Process Improvement Specialist, you will be responsible for identifying and implementing process improvements to increase efficiency and reduce costs.Key Responsibilities:Conduct process analysis to identify areas for improvement.Develop and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Zurich 56 Company Ltd Full time

    Job SummaryZurich 56 Company Ltd is seeking an experienced Claims System Specialist to join our team. As a Claims System Specialist, you will be responsible for providing operational support and business process analysis to ensure the smooth functioning of our claims system.Key ResponsibilitiesManage claims related projects based on business needs and...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Zurich Full time

    Job DescriptionZurich is seeking a detail-oriented and experienced Third-Party Bodily Injury Claims Specialist to manage and resolve third-party bodily injury claims. The ideal candidate will investigate, evaluate, and settle claims in a timely and efficient manner.Investigation: Gather relevant information and analyze medical reports and other documentation...


  • 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...


  • Kuala Lumpur, Kuala Lumpur, Malaysia OKX Full time

    About the RoleThe Operational Excellence Specialist at OKX will think critically about the future of FinTech and bring significant impact to the organization through operational efficiency, effectiveness, and improved customer experiences. This role involves identifying areas of improvement within the group and developing systematic approaches to streamline...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Zurich 56 Company Ltd Full time

    About the RoleThis Complex Claims Resolution Specialist position at Zurich 56 Company Ltd requires an individual with strong analytical and problem-solving skills to resolve complex claims efficiently. The role involves analyzing claims data, determining liability, and negotiating settlements within authority limits.ResponsibilitiesAnalyze claims data to...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

    Job DescriptionWe are seeking a skilled Medical Claims Specialist to join our team in Kuala Lumpur, Malaysia. In this role, you will be responsible for assessing and processing claims for medical expenses while maintaining confidentiality and ensuring accurate data input to our system applications.Your analytical skills will help you identify areas for...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna International Health Services Sdn Bhd Full time

    About the RoleCigna International Health Services Sdn Bhd is looking for a dedicated and results-driven Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring that claims are processed accurately and efficiently.Key ResponsibilitiesClaims Processing: Process medical claims from members and...

  • Claims Expert

    2 hours ago


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

    Job DescriptionThe Motor Claim Specialist - Own Damage role plays a pivotal part in managing motor claims related to own damage for Allianz entities. The incumbent will support Allianz entities in overseeing the entire process of own damage claims within the motor claims function, contributing to sustainable growth and profitability.Key...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Mheducation Full time

    About the TeamOur In-House shared service center team in Malaysia is dedicated to providing exceptional financial support to entities in the APAC region.We are seeking a highly skilled Accounting Process Improvement Specialist to join our team, working closely with regional business teams to standardize and streamline accounting processes across regions.Your...

  • Claims Specialist

    11 hours ago


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

    Job SummaryWe are seeking a highly skilled professional to join our Claims Control & Specialised Claims Unit at Allianz Popular SL. As a key member of our team, you will be responsible for Market Intelligence, serving as a Claims Specialist, overseeing Performance Management, and handling Fraud Management.


  • Kuala Lumpur, Kuala Lumpur, Malaysia Cigna Health and Life Insurance Company Full time

    In the role of Medical Claims Specialist, you will play a crucial part in our company's mission to deliver exceptional healthcare services. Key aspects of this position include:Key Responsibilities:Processing claims for medical expenses with precision and speed.Inputting accurate data into our systems, ensuring seamless operations.Analyzing workflows and...


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

    The role of an Operational Claims Specialist at Prudential involves managing the end-to-end claims process, from initial receipt to final settlement. The incumbent is responsible for acquiring a thorough knowledge of the different insurance products and operational processes to ensure customer enquiries are resolved in accordance with agreed service...


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

    Job DescriptionAs a Motor Claims Specialist, you will manage the entire process of third-party claims within the motor claims function, including adjudicating claims related to third-party damages.


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

    Job OverviewAllianz Popular SL is part of the Allianz Group, one of the world's leading insurers and asset managers. Our company has successfully combined various businesses from different parent companies to become a single business segment. We operate service delivery operations in Romania, India, Mauritius, and Morocco, as well as consulting hubs in...


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

    Allianz Services is part of Allianz Group, one of the world's leading insurers and asset managers and has succeeded in becoming one individual business segment by combining various businesses from different parent companies. Allianz Services is running service delivery operations in Romania, India, Mauritius, and Morocco as well as is operating Consulting...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Oliver James Associates Full time

    Job SummaryWe are seeking a skilled Business Analyst to join our Claims Solutions team. The ideal candidate will play a pivotal role in analyzing and enhancing our claims processing systems and policies.About UsOliver James Associates is a leading recruitment agency dedicated to providing expert talent solutions to businesses across various industries.Key...


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

    In this Claims Specialist role with Prudential, you will be responsible for managing claims due diligence and investigation processes to ensure they are carried out efficiently and effectively.Key Responsibilities:Conduct and drive claims investigation of suspicious, early, and fraudulent claimsBuild an effective investigation and due diligence...


  • Kuala Lumpur, Kuala Lumpur, Malaysia MAXIS Malaysia Full time

    This is a challenging and rewarding role that requires a unique blend of technical and business skills. As an Inside Sales Process & Automation Specialist, you will be responsible for evaluating and analyzing current inside sales processes to identify inefficiencies and areas for improvement.You will then develop and implement streamlined sales processes to...


  • Kuala Lumpur, Kuala Lumpur, Malaysia Zurich 56 Company Ltd Full time

    Job SummaryWe are looking for a Claims Resolution Specialist to handle claims of low to moderate exposure and complexity within specific limits of authority.Key AccountabilitiesDocument Claims Data: Capture and update claims data accurately.Analyze Claims Facts: Gather and analyze relevant facts to determine liability.Determine Policy Coverage: Analyze...