Claims Governance

4 days ago

Kuala Lumpur, Malaysia Allianz Partners Full time

Responsible in oversee the claims function, ensuring efficiency and cost-effectiveness by leveraging your expertise, experience, and insights.

**KEY RESPONSIBILITIES**:

- Management of the Claims Function
- Manage Service Level Agreements (SLA) of our partners/ internal teams and support the team to either met or exceed the agreed SLA
- Analyze data to identify trends, gaps, and opportunities for improvement in claims handling processes and improve in customer satisfaction
- Manage the performance and quality of the Claims through OFR and CFR review collaborated with Quality Assurance Team.
- Provide training and guidance to claims teams
- Acts as the primary technical referral point and/or operation escalations
- Manage customer feedback, inquiries and complaints promptly and effectively within designated timelines whilst providing a feasible resolution through established departmental processes and procedures
- Participate in projects and/or ad-hoc tasks as assigned
- Governance and Fraud Management
- Design, implement, and update claims handling policies and procedures to ensure consistency, compliance, and efficiency.
- Ensure compliance with regulatory requirements, industry standards, and internal policies related to claims processing.
- Conduct audits and assessments to identify areas for improvement and ensure adherence to governance frameworks
- Identify and analyze risks associated with claims handling and develop strategies to mitigate them.
- Collaborate with other departments to ensure a cohesive approach to risk management.
- Partner Relationship
- Being involved in Partner Relationships meetings; and
- Representing Allianz Partners as a Senior Operations Leader
- Operations - Strategy Ownership
- Owning and managing the Claims Operation Strategy Plan actions; and
- Being part of the Operations Senior Leadership team to drive company’s strategy

**PROFILE KEY REQUIREMENTS**:

- Diploma/Bachelor’s Degree in any discipline
- At least 5 years relevant working experience.
- With medical and/or travel insurance backgrounds will have an added advantage.
- Excellent written and verbal communication skills in English.
- Proficient in all Microsoft Office Applications
- Able to make decisions swiftly and put decisions into practical use.
- Works within a team environment, treating all team members with care and respect and assisting other team members as needed

Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of course and target development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build work well programs to providing you with peace of mind and give the flexibility in planning and arranging for better work life balance.

**Job Level**:

- Professional

**Location**:

- KUALA LUMPUR, Federal Territory of Kuala Lumpur, MY

**Area of Expertise**:

- Customer Services & Claims

**Unit**:

- Allianz Partners

**Employing Entity**:

- AWP SERVICES SDN BHD

**Job Type**:

- Full-Time

**Remote Job**:

- Hybrid working

**Employment Type**:

- Permanent

**ID**:

- 65628

**Position Cluster**:

- Non-Executive

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