Assistant Manager, Claims

4 hours ago


Kuala Lumpur Centre Kuala Lumpur, Malaysia Tokio Marine Insurans (Malaysia) Berhad Full time 60,000 - 120,000 per year

Responsibilities

  • Handle, process and recommend settlement of claims diligently in
    accordance with policy contract, company policy and procedures.
  • Approving claims for the peers with lower
    authority within the department benchmark/turnaround time.
  • To assist Unit Head to monitor general
    enquiries and ensure complaints are attended within the benchmark set by the
    department.
  • To ensure outstanding claim files are
    reviewed yearly and ensure claim reserves are adequate with status updated.
  • To assist Unit Head with report generation
    from Merimen system e.g. OD daily productivity, etc.
  • To authorize payments.
  • To handle incoming enquiries from internal
    or external parties via emails, phone calls and letters.
  • To authorize, deny and determine extent of
    insurer's liability on case of discharge that surpasses the authority of an
    Executive.
  • To ensure claims recommendations and
    decisions are complied with legal requirements, industry regulations, company
    policies and professional codes.
  • Keep ratio of outstanding claims at healthy
    level.
  • Highlight to supervisors and/or HODs of any
    deficiency in policy coverage and adverse claims trends to facilitate
    corrective and appropriate action.
  • Identifying potential fraud and make
    appropriate referrals.
  • To assist Unit Head with any projects
    entrusted to the Unit and to lead team members in certain projects.
  • To accept any roles that the management may
    assigned from time to time.


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