Manager, Claims Investigation
2 days ago
Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow and Succeed.
Principal Duties & Responsibilities:
- Conduct objective, fair, detailed, and timely investigation on various types of suspicious claims fraud cases in supporting of Claims Department.
- Investigate allegation of fraud or sales misconduct committed by agents e.g., premium theft, deceptive sales practices etc.
- Conduct interviews, acquire statement from claimants, medical practitioner, agents, complainants and/or witnesses.
- Tabling the findings and recommendations to the appointed committees for deliberation and decision.
- Ensure clear and accurate documentation of the carried-out investigations work.
- Function as the company liaison with law enforcement agencies, other departments, regulatory bodies, solicitors, and insurance information bureaus. This includes representing the company in court proceedings.
- Supporting the development and implementation of Group Security projects and strategy including the development of awareness and prevention initiatives.
Job Specification:
- At least 5 years related working experience; proven understanding in Investigations, Compliance or Auditing.
- Strong analytical skills with an enquiring mind to efficiently carry out effective investigations.
- Sound understanding of regulatory guidelines governing the insurance industry or financial services.
- Good interpersonal and communication skills.
-
Executive, Claim Investigation
2 days ago
Kuala Lumpur, Malaysia Prudential plc Full timePrudential’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...
-
Claims Investigator
3 days ago
Kuala Lumpur, Malaysia Allianz Full timeClaims Investigator (General Insurance) **Job Summary** The Claims Investigator is responsible for all aspects of the investigation process to include creation of investigation plans, identification and assignment of relevant enquiries and reporting on findings. The investigator will provide assistance to the claims examiner in progress the claim and will...
-
Claims Investigator
5 days ago
Kuala Lumpur, Malaysia Allianz Malaysia Full time**Job Summary** The Claims Investigator is responsible for all aspects of the investigation process to include creation of investigation plans, identification and assignment of relevant enquiries and reporting on findings. The investigator will provide assistance to the claims examiner in progress the claim and will leverage knowledge and expertise to...
-
Manager, Investigations
1 week ago
Kuala Lumpur, Malaysia Prudential plc Full timePrudential’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...
-
Claims Examiner
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Zurich Insurance Full time $60,000 - $120,000 per yearPosition Overview :We are seeking a detail-oriented and experienced Third-Party Bodily Injury Claims Specialist to join our team. The ideal candidate will be responsible for managing and resolving third-party bodily injury claims with a focus on delivering exceptional service while ensuring compliance with company policies and legal requirements.Key...
-
Executive, Claims
2 weeks ago
Kuala Lumpur, Malaysia Prudential plc Full timePrudential’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...
-
Motor Claims
2 weeks ago
Kuala Lumpur, Kuala Lumpur, Malaysia Agensi Pekerjaan Adecco Personnel Sdn Bhd Full time $50,000 - $120,000 per yearAdecco's Banking & Financial Insurance Team is hiring for a Motor Claims Specialist for an International Insurance Company.The Motor Claims Specialist is responsible for end-to-end management of either Own Damage (OD) and Third-Party Property Damage (TPPD) motor claims. With extensive experience in motor insurance, the specialist will handle complex claims,...
-
Claim Administrator
2 weeks ago
Kuala Lumpur, Malaysia Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Claims Specialist
3 days ago
Kuala Lumpur, Malaysia Zurich Insurance Full timeJob Summary- To handle a limited case load of large and or complex life claims and serve as a referral resource for both Life Claims Technicians and Examiners, to ensure timely and equitable settlement and delivery of excellent customer service.- Job Accountabilities - Key Accountabilities- Ensure that claims processes and procedures meet state and federal...
-
Individual Claims Management, Analyst
2 weeks ago
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 determining the validity and authorising settlement of individual health insurance claims - Assess and settle individual health insurance claims arising from policies in force -...