Claims Executive

5 hours ago

Kuala Lumpur, Kuala Lumpur, Malaysia RHB Banking Group Full time 60,000 - 120,000 per year

Primary Objective

  • Responsible to handle the following (listed) portfolios and ensure all the related claims are fairly & promptly settled in accordance with the Company's guidelines / Claims Manual, BNM & PIAM guidelines.
  • Personal Accident and Medical claims

Key Responsibilities

  • Ensure prompt processing of claims including appointment of adjusters.
  • Arrange bordereaux meeting with panel of adjusters on monthly basis.
  • Report to Unit Head/ Head, BA/FA on performance of panel Adjusters on quarterly basis.
  • Verify, assess and approve promptly all claims within authority and for claims exceeding authority to process, recommend and submit to Unit Head/ Head, BA/FA for approval.
  • To refer immediately any complaints received from Customers, Branches, BNM, PIAM, OFS and Intermediaries to Unit Head/ Head, BA/FA so that these are promptly and effectively monitored and resolved within the time frame.
  • To ensure all claims suspected having fraud elements or in violation of policy conditions are brought to attention of Head, BA/FA & in his/ her absence to HOD/ CEO.
  • Ensure all necessary advices to Treaty Reinsurers/ XOL are adhered to as laid down under the Reinsurance agreement.
  • To ensure all recoveries are actively pursued.
  • To monitor and review all files including aging cases effectively and within the time frame.
  • To monitor and review files on yearly basis.
  • Any other duties as may be assigned by the Company from time to time.

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