Claims Executive

1 day ago

Kuala Lumpur, Kuala Lumpur, Malaysia Generali Malaysia Full time

Summary:

Providing reliable and responsive customer service and claims advice to all our policyholders and agents. The service will include handling claims enquiries, complaints, processing and case management.

Responsibilities:

1. Operational Efficiency

  • Assessment and approval of Major Claims, Medical and PA claims within the defined approval authority limit set and committed service level.
  • To make recommendations for cases above limit to Superior for their approval.

2. Simplification

  • Being proactive in identifying improvement / enhancement opportunities based on data insights and being active in seeking and sharing ideas for innovation in business processes.

3. Customer Service

  • Review pending claims and appeal within the committed service level and make appropriate revised decision if it is within the authority limit.
  • Handle enquiries and provide quality customer service to clients and agents

4. Control & Functions

  • Adherence to Financial Services Act 2013, AMLA, Standard Operating Procedures (SOP), Bank Negara Malaysia guidelines and Group Standard Procedures.
  • Liaison with Consultant Doctor and other Insurers to determine validity and liability of the Company.
  • Initiate and conduct investigation on suspicious claim and make recommendations to the immediate superior.

5. Individual Development

  • To leverage trends and relationship to provide high-quality customer service.
  • Ability to gather unique perspectives from other teams / functions to optimize outcomes

Requirements:

1. Educations :
Minimum diploma in Business Administration (or related fields)

2. Experience :
Minimum 1 year experience in Claims (or related) fields, but preferably in financial institution or related industry

3. Skills :

  • Good communication skills at any level
  • Motivated
  • Team player
  • Flexible
  • Willingness to learn

  • Insurance Claims Executive

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia TWO95 International, Inc Full time

    IMMEDIATE HIRING FOR THE OPENING OF - INSURANCE CLAIMS EXECUTIVE – Salary 2800 to 3500RM / MonthOpen to Malaysians & Local Malaysians onlyTo assist the Head Of Claims, the Senior Executive and the Group COO in managing and processing the claimsTo liaise with external parties, including the lawyers, intermediaries and Adjusters on the claims managementTo...

  • Executive, Claims

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Prudential Plc Full time $15,000 - $50,000 per year

    Prudential'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 our...

  • Claims Specialist – General Claims

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Marsh McLennan Full time

    Company:MMC CorporateDescription:We are seeking a talented individual to join our Claims Operations team at Marsh & McLennan Asia Business Services (MMABS). This role will be based in our Pavilion Damansara Corporate Towers, Kuala Lumpur office. This is a hybrid role that has a requirement of working as per respective team's arrangement.Claims Specialist –...

  • Claims Specialist – General Claims

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Marsh Full time

    We are seeking a talented individual to join our Claims Operations team at Marsh & McLennan Asia Business Services (MMABS). This role will be based in our Pavilion Damansara Corporate Towers, Kuala Lumpur office. This is a hybrid role that has a requirement of working as per respective team's arrangement.Claims Specialist – General Claims (Hong Kong Market...

  • Claims Specialist – General Claims

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Marsh Full time

    We are seeking a talented individual to join our Claims Operations team at Marsh & McLennan Asia Business Services (MMABS). This role will be based in our Pavilion Damansara Corporate Towers, Kuala Lumpur office. This is a hybrid role that has a requirement of working as per respective team's arrangement.Claims Specialist – General Claims (Hong Kong Market...

  • Senior Executive, Claims

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia FWD Insurance Full time 60,000 - 120,000 per year

    About FWD GroupFWD Group (1828.HK) is a pan-Asian life and health insurance business that serves approximately 34 million customers across 10 markets, including BRI Life in Indonesia. FWD's customer-led and tech-enabled approach aims to deliver innovative propositions, easy-to-understand products and a simpler insurance experience. Established in 2013, the...

  • Claims Admin Support

    5 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Manulife Full time

    The Opportunity This role offers an opportunity to be a key part of the claims operations team, ensuring timely and accurate processing of claims documents and payments. By maintaining precise records, assigning cases efficiently, and supporting assessors, you help uphold our commitment to delivering a seamless claims experience for customers. You'll gain...

  • Assistant Manager, Claims

    7 days ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Tokio Marine Insurance Group (Asia) Full time

    ResponsibilitiesHandle, 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...

  • Desktop Claims Handler

    2 weeks ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Sedgwick Full time 30,000 - 60,000 per year

    Taking 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 your...

  • Executive, Staff Health

    1 week ago

    Kuala Lumpur, Kuala Lumpur, Malaysia Sunway Medical Centre Velocity Full time

    We are seeking a proactive and detail-orientedExecutive, Staff Healthto manage end-to-end administrative tasks related to staff health. This role ensures consistent application of medical claims practices and guidelines for all employees, while driving healthcare and wellness initiatives to promote a healthy workforce.Key responsibilitiesMedical Benefits &...