Claims Specialist

4 days ago

Kuala Lumpur, Malaysia Hannover Re Full time

Claims Specialist

We are currently hiring an **Claim Specialist** to join our Finance & Accounting team in Malaysian Branch.

**Key Responsibilities**
- Actively reviewing, improving and developing claim management solutions, processes and strategies when required.
- Actively reviewing and improving claim handing guidelines, including criteria for claim review.
- Actively establishing local/ regional networks with loss adjusters, lawyers.... to get up-to-date loss information and to support claim audit and verification.
- Verifying covered losses (Facultative and Treaty) by studying insurance policy and/or reinsurance contract coverage (in consultation or liaison with underwriter/ Group Legal Services when necessary).
- Establish proof of loss by studying documentation and assembling additional information from outside sources.
- Verifying claim recoveries and salvages when relevant.
- Supporting loss reserve (single and event loss) process when required.
- Conducting claim audit when required, which including but not limiting to:

- Interviewing with Claims and Reinsurance/ Finance Team of business partner;
- Assessing Claim handling and reserving process of business partner;
- Engaging local experts (loss adjusters/ lawyers...) when required;
- Negotiating claim settlement where relevant;
- Actively communicating with underwriter and other services departments about claim development and claim decision according to Claim handling guidelines.
- Actively using claim handling experience and claim data to support underwriting and pricing process.
- Register claim, maintain claim files and document claim file activities in accordance with established procedures and to ensure information confidentiality.
- Prepare claim reports to Branch management, Compliance and Hannover Office according to Claim handling guideline.
- Approving or denying or referring claims according to Claim handing guidelines and authority.
- Ensure legal compliance, including Sanction and Data protection regulations, by following company policies, procedures, and guidelines.
- Maintain quality client service by understanding client's practices and responding to client's inquiries.
- Provide legal support by assembling documentation for settlement action.
- Assist or prepare files for lawsuit, trial, subrogation, or commutation.
- Collaborating with Technical accounting professionals as a reference contact regarding claims.
- Engage actively in ad hoc projects, including automation projects rolled out by Hannover (Germany) Office.
- Develop and recommend areas for enhancements and improvements for the current systems and processes to meet the challenges and needs of claims process.

**Job Requirements**
- A university degree or master's in relevant field such as (re)insurance, business, finance or law.
- Good command of English (written and spoken)
- Minimum of 8 years of experience in the insurance or reinsurance industry
- Having experience working with loss adjusters is an asset.
- Extensive knowledge of (re)insurance claim process
- Extensive knowledge of insurance-related policies and legislation
- Excellent conflict resolution skills
- Strong communication and interpersonal skills
- Proficient with Microsoft Office Suite
- Analytical and problem solving skill
- Attention to detail and accuracy
- Organisational and time management skills
- Ability to manage a team
- Ability to be a team player with result oriented, problem solving skills and willing to complete/ assist in tasks that sometimes fall outside of the job description

Job ID 2296

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