Claims Adjuster

5 hours ago


Petaling Jaya, Selangor, Malaysia Career International FOS Pte Ltd Full time 60,000 - 120,000 per year

The purpose of the Claims Adjuster role is to settle claims within authority as efficiently as is possible. This will include the technical assessment of claims and the formation and implementation of strategies, to bring the claims to swift resolution. The role will involve adherence with all operational procedures and adopting a settlement strategy. The role will report to the Shared Services Manager and will work closely with peers, stakeholders, external suppliers and management to deliver a One Team Approach and advance the implementation of the Claims Strategy.

Responsibilities

  • To be responsible for the proactive handling of claims within authority for Reinsurance classes, ensuring that the best outcomes are achieved consistently for our clients and business and aligning to client Values.
  • To provide consistent delivery of a TRUSTed, first-class claims experience to clients, brokers and internal stakeholders in adherence with all client policies, procedures, controls and our claims philosophy
  • To handle claims arising from responsible line of business (and arising from other classes where appropriate as per business requirements), from FNOL to settlement, with due consideration of subrogation/contribution where appropriate, to ensure consistent delivery of superior level of claims service and proactive claims resolution.
  • To proactively monitor claims to ensure Cedant reserves and Ultimate's are captured (where applicable) and valid claims are settled promptly with a tight control of costs where applicable throughout lifecycle
  • To ensure all claims handling responsibilities adhere to client procedures, controls and Lloyd's/FCA/PRA/J-SOX regulatory requirements and individual performance results in green Claims KPIs
  • To participate in and promote a respectful culture of open communication, collaboration, dynamic claims adjustment and continuous improvement - sharing knowledge with team and colleagues - to foster consistent superior service delivery and optimal working environment for all.
  • To learn to analyse claims data and provide specialist knowledge to clients and business to inform better business decisions and help clients prevent and mitigate losses.
  • To work together with responsible underwriters to create and or support a compelling proposition to attract and retain desired business and provide support, as required, to our client partners
  • To build and strengthen relationships with peers, brokers and service providers in the market.
  • To proactively achieve required claims team strategic objectives and participate in business modernization initiatives to transform current claims proposition towards our vision for a TRUSTed, market-leading claims service proposition
  • To understand, where relevant, all requirements around delegated claims procedures and oversight and treat all service providers and experts as extension of our team.
  • To act as ambassador of our company, raising our profile in the market and proactively strengthening our claims reputation

Requirements

  • A degree in Insurance, Risk Management, Law, Business, Finance, Engineering or a related field is preferred.
  • Professional Certifications: CII (Certificate/Diploma/Advanced Diploma), ACII, AIC, or other relevant insurance qualifications are highly desirable.
  • Alternative Pathways: Strong industry experience in claims or reinsurance, supplemented by professional development, may be considered in place of formal education.
  • Prior experience in insurance or reinsurance claims, particularly in property, casualty, or specialty lines.
  • Familiarity with reinsurance structures, treaties, facultative placements, and contract wording.
  • Understanding of insurance and reinsurance regulations, compliance, and dispute resolution.
  • Experience in assessing large, complex, or catastrophe-related losses.
  • Experience negotiating claims with cedants, brokers, and reinsurers.
  • Experience handling claims data, reserves, and financial analysis for reporting to underwriters and stakeholders.
  • Exposure to interactions with cedants, brokers, loss adjusters, and legal professionals.


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